Financial Report Instructions ETA-9130 (H) – Statewide Rapid Response
U.S. Department of Labor Employment and Training Administration
Financial Report Instructions |
ETA-9130 (H) – Statewide Rapid Response |
There are different variations of form ETA-9130, each pertaining to a specific program/funding stream. The instructions for the various ETA-9130 forms are not identical. Please ensure that you are using the correct ETA-9130 form and instructions. |
Report Submission
Reporting Requirements
For more information regarding DOL/ETA grants and financial reporting, please visit http://www.doleta.gov/grants/. Additional assistance may be provided through your Federal Project Officer. Technical issues with the on-line reporting system should be directed to: [email protected].
Please ensure that the certifying official information contained in Items 14a -14d is correct. Any outdated information will delay transmission of the grant’s closeout package and relevant information affecting the grant. To request a change in the signatory/certifying official, you must send an e-mail to [email protected]. |
Line Item Number |
Reporting/Line Item |
Instructions |
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Cover Information |
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1 |
Federal Agency and Organizational Element to Which Report is Submitted |
“U.S. Department of Labor Employment & Training Administration.” PRE-ENTERED |
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2 |
Federal Grant or Other Identifying Number Assigned by DOL |
Grant number assigned for the award by DOL/ETA and contained on the grant award document. Also called Federal Award Identification Number (FAIN) under the Uniform Guidance (2 CFR 200). PRE-ENTERED |
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3 |
Recipient Organization |
Name and complete address of recipient organization. PRE-ENTERED |
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4a |
Unique Entity Identifier |
Recipient organization’s Unique Entity Identifier, currently known as the Data Universal Numbering System (DUNS) number or Central Contractor Registry extended DUNS number until such time a Unique Entity Identifier (UEI) is determined. PRE-ENTERED |
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4b |
EIN |
Recipient organization’s Employer Identification Number (EIN). Also known as the Federal Employer Identification Number (FEIN), or the Federal Tax Identification Number, the EIN is a unique nine-digit number assigned by the Internal Revenue Service (IRS) to business entities operating in the United States for the purpose of identification. PRE-ENTERED |
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5 |
Recipient Account Number or Identifying Number |
Enter the account number or any other identifying number assigned by the recipient to the grant award. This number is strictly for the recipient’s use and is not required by DOL/ETA. |
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6 |
Final Report (Yes/No) |
Select appropriate box. Check “Yes” only if this is the final quarter report for subject grant subaccount. For grants with multiple subaccounts, each subaccount may be indicated “final” at the time all funds in that subaccount are expended. However, the grant closeout will not occur until after the grant end date |
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7 |
Basis of Reporting (Accrual) |
ACCRUAL has been pre-entered on all ETA-9130 reports.
DOL/ETA regulations require that all recipients report expenditures and program income on an accrual basis. For accrual basis reporting, accrued expenditures are recorded when a requirement to pay is established.
NOTE: Uniform Guidance, 2 CFR 2900.14: “In addition to the guidance set forth in 2 CFR 200.327, for Federal awards from the Department of Labor, the DOL awarding agency will prescribe whether the report will be on a cash or an accrual basis. If the DOL awarding agency requires reporting on an accrual basis and the recipient’s accounting system is not on the accrual basis, the recipient will not be required to convert its accounting system, but must develop and report such accrual information through best estimates based on an analysis of the documentation on hand.” |
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8 |
Project/Grant Period, From: (MM/DD/YYYY) |
The beginning date of the grant award as defined in the grant award document. PRE-ENTERED |
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Project/Grant Period, To: (MM/DD/YYYY) |
The ending date of the grant award as defined in the grant award document, and the final date for which any accrued expenditures can be incurred under the subject grant award. PRE-ENTERED |
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9 |
Reporting Period End Date: (MM/DD/YYYY) |
The last date of the quarter for which cumulative data is provided on the subject ETA-9130. (Required reporting quarter end dates are contained in the “Reporting Requirements” in the first section of these instructions.) PRE-ENTERED |
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10 |
Transactions
Enter cumulative amounts in the Cumulative Column for each line item requiring data entry, as of the reporting period end date. NOTE: If any line item does NOT require data entry for a particular grant/program, a ZERO must be entered.
Line items which will be automatically calculated are grayed out, and no data entry will be permitted by the reporting entity.
Cumulative data for the current reporting quarter will become the Previous Period Column in the following quarter. This Period data will be automatically calculated. Use Section 12, Remarks, to provide any information deemed necessary to support/explain data provided in this section. |
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Federal Cash |
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10a |
Cash Receipts |
Enter the cumulative amount of actual cash received from the Federal agency as of the reporting period end date. Cash received means cash deposited in your bank account. Drawdowns initiated on the last business day of a quarter should NOT be reflected in this amount, but in the subsequent quarter’s cash receipts.
Cumulative drawdowns posted in the Payment Management System (PMS) through the end of the reporting period end date reflect drawdowns for Statewide and Local Dislocated Worker as well as Rapid Response activities. This entry must reflect the Statewide Rapid Response portion only.
The sum of the 10a entry on this report plus the 10a entries on the Statewide Dislocated Worker report (ETA-9130 (E)) and the Local Dislocated Worker report (ETA-9130 (F)) should equal the cumulative PMS record amount posted for this subaccount.
Cash receipts reported should correspond to payment for allowable Statewide Rapid Response costs (and allowable advances to subrecipients) associated with the funding authority identified on Line10d (Total Federal Funds Authorized). |
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10b |
Cash Disbursements |
Enter the cumulative amount of cash disbursed from the cash receipts identified on 10a, as of the reporting period end date. The cash disbursements reported must be all or a portion of the cash receipts reflected on Item 10a.
This entry should reflect the sum of actual cash disbursements for direct charges for goods and services, the amount of cash paid out for indirect expenses, and the amount of cash advance payments and payments made to subrecipients and subcontractors.
NOTE: Line 10e (Federal Share of Expenditures) will typically be greater than Line 10b due to the inclusion of accruals, for which payment has not been made. If allowable advances made to subrecipients, cause Line 10b to exceed Line 10e, a valid explanation should be provided in Section 12, Remarks.
If the cumulative entry for this line item is less than the previous period cumulative amount, a valid explanation should be provided in Section 12, Remarks. |
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10c |
Cash on Hand (line 10a minus line 10b) |
This is an automatic calculation, which is Line 10a (Cash Receipts) minus Line 10b (Cash Disbursements).
The cash on hand amount should represent immediate cash needs. An explanation for the excess cash on hand amount should be provided in Section 12, Remarks.
NOTE: In accordance with Department of Treasury regulations, federal cash must be drawn solely to accommodate immediate needs. |
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Federal Expenditures and Unobligated Balance: |
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10d |
Total Federal Funds Authorized |
Enter the total amount of Rapid Response (RR) funds (from the Dislocated Worker (DW) funding stream allotment) retained at the State level for allowable Rapid Response activities.
NOTE: This amount cannot exceed 25% of the DW funding stream allotment. |
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10e |
Federal Share of Expenditures |
Enter the cumulative amount of accrued expenditures for allowable costs associated with the funds authorized on Line10d (Total Federal Funds Authorized).
DOL/ETA requires reporting on an accrual basis. If the recipient’s accounting system is not on an accrual basis, the recipient will not be required to convert its accounting system, but must develop and report such accrual information through best estimates based on an analysis of the documentation on hand (2 CFR 2900.14).
Expenditures for reports prepared on an accrual basis are the sum of: actual cash disbursements specified in Line 10b for direct charges for goods and services; the amount of indirect expenses incurred; net increase or decrease in the amounts owed by the non-Federal entity for goods and property received; and services performed by employees, contractors, subrecipients, and other payees, and programs for which no current services or performance are required such as annuities, insurance claims, or other benefit payments, minus any rebates, refunds, or other credits.
Unless cash advances have been made to subrecipients or there is a reduction for rebates, refunds, or other credits, this entry will usually be greater than Line 10b (Cash Disbursements) because accruals (goods and services received but not yet paid for) must be included on this line item. Non-Federal entities must liquidate existing cash advances before requesting additional advances (2 CFR 2900.7). In addition, recipients operating on a reimbursement basis must report all accrued expenditures (including cash disbursements for allowable grant activities) in the quarter in which they occur.
NOTE: If the cumulative entry for this line item is less than the previous period cumulative amount, a valid explanation should be provided in Section 12, Remarks. |
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10f |
Total Administrative Expenditures |
This entry should be ZERO, as administrative costs cannot be charged to Rapid Response. |
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10g |
Federal Share of Unliquidated Obligations |
Enter any obligations incurred, for which an accrued expenditure has not yet been recorded, as of the reporting period end date.
Unliquidated obligations should include amounts which will become due to subrecipients and contractors. On the final report, this line item should be zero.
The OMB Uniform Guidance defines “Obligation” in 2 CFR 200.71 as follows: “When used in connection with a non-Federal entity’s utilization of funds under a Federal award, obligations means orders placed for property and services, contracts and subawards made, and similar transactions during a given period that require payment by the non-Federal entity during the same or a future period.” Please refer to 2 CFR 200 and 2 CFR 2900 for additional guidance.
NOTE: For DOL/ETA grants, the only liquidation that can occur during closeout is the liquidation of accrued expenditures (NOT obligations) for goods and/or services received during the grant period.
Do not include any amount on Line 10g that has been reported on Line 10e (Federal Share of Expenditures) or 10f (Total Administrative Expenditures). Do not include any amount on Line 10g for a future commitment of funds/encumbrances (e.g., entire lease, budgeted salary costs) for which an obligation has not yet been incurred. |
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10h |
Total Federal Obligations (sum of lines 10e and 10g) |
This is an automatic calculation, which is the sum of Lines 10e (Federal Share of Expenditures) and 10g (Federal Share of Unliquidated Obligations). |
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10i |
Unobligated Balance of Federal Funds (line 10d minus line 10h) |
This is an automatic calculation, which is Line 10d (Total Federal Funds Authorized) minus Line Item 10h (Total Federal Obligations). |
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Recipient Share: |
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10j |
Total Recipient Share Required |
Enter the total match requirement, if applicable. A match requirement will be listed in the grant award document and on the SF-424a, Section A, Column F “Non-Federal.”
If there is no match requirement, a ZERO must be entered. |
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10k |
Recipient Share of Expenditures |
Enter any non-Federal funds expended, by recipient organization, for the purposes or activities of subject grant. Expenditures identified on this line item must be allowable costs which could otherwise have been paid for out of subject grant funds. These expenditures should include both match and other non-Federal leveraged resources. The value of allowable non-Federal in-kind match contributions should also be included.
This entry may (and often will) exceed the required match entered on Line 10j (Total Recipient Share Required).
NOTE: Non-Federal funds expended for the purposes or activities of the subject grant, which are allowable under the OMB Uniform Guidance (2 CFR 200 and 2 CFR 2900), but which are not completely allowable under the subject grant (due to a program specific restriction), should not be reported on this line item, but should be included in the quarterly progress report. Other federal funds expended for the purpose and benefit of this grant should be included in line item 11a (Other Federal Funds Expended). |
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10l |
Remaining Recipient Share to Be Provided (line 10j minus line10k) |
This is an automatic calculation, which is Line 10j (Total Recipient Share Required) minus Line 10k (Recipient Share of Expenditures). When the match requirement identified on Line 10j has been met, or if Line 10j is zero, the value on Line 10l will automatically be set to zero. |
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Program Income: |
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10m |
Total Program Income Earned |
Enter the total amount of program income earned as the result of allowable grant activity. The addition method for recording and reporting program income is typically required for all ETA programs/grants. For additional reference, program income is defined in the applicable program regulations and in 2 CFR 200.80 and 2 CFR 200.307.
Either gross or net program income may be reported. If gross program income is reported, the costs for generating the income should be included on Line 10e (Federal Share of Expenditures). If net program income is reported, the costs for generating the income are subtracted from the total income earned before entering the net amount on 10m.
If no program income is earned, a ZERO must be entered. |
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10n |
Program Income Expended in Accordance with the Addition Method |
Enter the cumulative amount of accrued expenditures incurred against the program income earned on Line 10m (Total Program Income Earned).
NOTE: Program income is to be expended during the same grant period in which it is earned and must be disbursed before requesting new cash advance payments (2 CFR 200.305 (b)(5)). |
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10o |
Unexpended Program Income (line 10m minus line 10n) |
This is an automatic calculation, which is Line10m (Total Program Income Earned) minus 10n (Program Income Expended in Accordance with the Addition Method). |
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11 |
Additional Expenditure Data Required |
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11a |
Other Federal Funds Expended |
Enter any other Federal funds expended, by the recipient organization and any subrecipient organizations for the same purposes or activities of the subject grant. Expenditures included must be allowable costs which could otherwise have been paid for out of subject grant funds.
Other Federal funds expended by any non-subrecipient partner organizations for the benefit of this grant program should be included in the quarterly progress report.
This entry should include expenditures of all Federally funded leveraged resources, whether or not such expenditures are the result of a leveraging requirement. |
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11b |
Real Property Proceeds Expended |
Enter expenditure of funds resulting from the sale of real property purchased with DOL/ETA ES or UI funds. Further guidance on this requirement can be found in Training and Employment Guidance Letter No. 3-07, Transfer of Federal Equity in State Real Property to the States, dated August 1, 2007.
NOTE: This amount should not be included in the amount reported on Line 10e (Federal Share of Expenditures). |
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11c |
Rapid Response Funds Expended on Other Statewide Programs |
Enter the cumulative amount of Rapid Response funds expended on other statewide programs, regardless of whether the funds were expended at the State or local level. This line item is a portion of the amount reported in 10e (Federal Share of Expenditures).
WIOA Sec. 134 (a)(2)(A)(ii) stipulates that Rapid Response funds that remain unobligated after the first program year for which such funds were allotted may be used by the Governor to carry out statewide activities authorized under WIOA Sec. 134 (a)(2)(B) or WIOA Sec. 134 (a)(3)(A). |
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12 |
Remarks
Enter any explanations deemed necessary by the recipient or information required by DOL/ETA. (This section supports transactions entered on lines identified in Sections 10, 11, and 13, as applicable.) |
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13 |
Indirect Expenditures
Complete this information only for indirect expenses incurred by the non-federal entity receiving direct awards from DOL and using an indirect cost rate. State recipients using a Statewide Cost Allocation Plan (SWCAP) and/or subrecipients will not report indirect expenditures.
Indirect cost expenditures are only required to be reported on the Final Report. Recipients must enter information on lines 13a – 13h at the end of the project/grant period. |
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13a |
Type of Rate |
State whether indirect cost rate(s) is Provisional, Predetermined, Final, Fixed, Fixed with Carry-Forward, DeMinimis, or other. |
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13b |
Rate |
Enter the indirect cost rate(s) in effect during the reporting period. |
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13c |
Rate Approval Date |
Enter the date on which the indirect cost rate was approved. |
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13d |
Period From |
Enter the date on which the approved indirect cost rate became effective.
NOTE: The indirect cost rate period must apply to the Project/Grant Period in line 8 above. |
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Period To |
Enter the last date (ending date) on which the approved indirect cost rate was (or is going to be) effective.
NOTE: The indirect cost rate period must apply to the Project/Grant Period in line 8 above. |
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13e |
Base |
Enter the amount of the distribution base against which the rate(s) was applied, such as modified total direct costs (MTDC). Distribution bases are described in 2 CFR Part 200 and the Federal Acquisition Regulations (FAR). MTDC is defined at 2 CFR Part 200.68. |
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13f |
Amount Charged |
Enter the amount of indirect costs charged during the time period specified. Multiply 13b (Rate) x 13e (Base). |
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13g |
Federal Share |
Enter the Federal share of the amount in 13f (Amount Charged). |
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13h |
Totals |
Enter the totals for 13e (Base), 13f (Amount Charged), and 13g (Federal Share) respectively. |
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14a-b |
Certification
The authorized official certifies accuracy of reported data by entering assigned PIN.
“By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729–3730 and 3801–3812).” |
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14c |
Telephone (Area Code, Number and Extension) |
The telephone number of the certifying official is automatically displayed. If the information contained in this field is outdated or incorrect, please contact your Federal Project Officer (FPO) and Grant Officer to inform him/her of the error and the need to request a change. |
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14d |
Email Address |
The email address of the certifying individual is automatically displayed. If the information contained in this field is outdated or incorrect, please contact your Federal Project Officer (FPO) and Grant Officer to inform him/her of the error and the need to request a change. |
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14e |
Date Report Submitted (MM/DD/YYYY) |
The date the ETA-9130 is certified/submitted to DOL/ETA is automatically displayed. |
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15 |
Agency Use Only |
This section is reserved for DOL/ETA use. |
Page
File Type | application/msword |
File Title | ETA-9130 (H) – Statewide Rapid Response |
Subject | There are different variations of form ETA-9130, each pertaining to a specific program/funding stream. The instructions for the |
Author | Silvia Middleton |
Last Modified By | Silvia Middleton |
File Modified | 2016-05-23 |
File Created | 2016-05-23 |