Single Audit Form Completion Test Model

Form Approved

OMB No. 4040-0017

Exp. Date 03/31/2019

HHS DATA Act Program Management Office (DAP)

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Single Audit Form Completion Questionnaire

Demographics

1. Name: _______________________

2. Email: _________________________

3. Organization Name: ________________________

4. Position/Role: _______________________

5. Department/Unit: ________________________

6. Department/Unit Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

7. Organization Approximate Federal Award Value (FY 2015, October 1, 2014 – September 30, 2015): ________________________

8. Which type of entity do you represent?

State/Local Government	Non-Governmental Organization (NGO)	University / Higher Education Institution	Other
For Profit Organization	Non-Profit Organization	Native American Tribe

8a. If you answered “Other” to question 8, please specify which type of entity you represent

___________________________________

9. Did your organization submit a Single Audit in the most recent fiscal year?
   
   
   

Yes

No

Unsure

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 4040-0017. The time required to complete this information collection is estimated to average 15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

10. Are you involved in the preparation of the Schedule of Expenditures of Federal Awards (SEFA) or the Data Collection Form (SF-SAC)?
    
    
    

Yes

No

Unsure

11. Do your responsibilities include any work related to the Single Audit process?
    
    
    

Yes

No

Unsure

Survey

Please circle the answer that reflects your opinions as accurately as possible

1. To what extent does the use of the SEFA Template affect reporting burden?

Significantly Reduces Burden

Somewhat Reduces Burden

Cannot Assess

Does not Increase nor Reduce Burden

Somewhat Increases Burden

Significantly Increases Burden

2. To what extent will the use of a SEFA Template containing all the Uniform Guidance required fields affect the burden associated with completing the SEFA?

Significantly Reduces Burden

Somewhat Reduces Burden

Cannot Assess

Does not Increase nor Reduce Burden

Somewhat Increases Burden

Significantly Increases Burden

3. To what extent does the SEFA Template affect the time associated with the Auditor’s review of the SEFA for completeness?

Significantly Reduces Burden

Somewhat Reduces Burden

Cannot Assess

Does not Increase nor Reduce Burden

Somewhat Increases Burden

Significantly Increases Burden

4. To what extent does the upload feature of the FAC Pilot system affect the amount of errors in uploading the SEFA Template to populate the SF-SAC?

   Significantly Reduces Burden

   Somewhat Reduces Burden

   Cannot Assess

   Does not Increase nor Reduce Burden

   Somewhat Increases Burden

   Significantly Increases Burden

5. To what extent does uploading the SEFA Template affect the time associated with the Single Audit reporting process?

Significantly Reduces Time

Somewhat Reduces Time

Cannot Assess

Does not Increase nor Reduce Time

Somewhat Increases Time

Significantly Increases Time

6. To what extent does generating an exportable SEFA for the Audit report affect the time associated with the Single Audit reporting process?
   
   
   

Significantly Reduces Time

Somewhat Reduces Time

Cannot Assess

Does not Increase nor Reduce Time

Somewhat Increases Time

Significantly Increases Time

Please circle the best answer for the following questions

7. ­­­How do the features of the SEFA Template affect the accuracy of the respective SEFA data?
   
   
   

Increases Accuracy

Decreases Accuracy

8. How does the upload feature of the FAC Pilot system affect duplicative reporting efforts?

Increases Duplicative Efforts

Decreases Duplicative Efforts

9. How does generating a SEFA from the FAC system affect burden associated with the Single Audit reporting process?

Increases Burden

Decreases Burden

Please provide a brief written response

10. In your own words, what was the most beneficial feature of the SEFA Template and the associated reporting process?

11. In your own words, what was the least beneficial feature of the SEFA Template and the associated reporting process?

12. Did you feel that the proposed process and the use of the SEFA Template led to time savings in the Single Audit reporting process?

13. If you answered yes to the question above, please estimate the amount of time savings through the proposed process and use of the SEFA Template (in minutes).

14. In your own words, please provide any recommendations you believe would make the Single Audit reporting process or the SEFA Template better and/or easier to use.
    
    
    

2