SAC-1 Single Audit Questionnaire (for use during transition to

Data Collection Form for Reporting on Audits of States, Local Governments, Indian Tribes, Institutions of Higher Education, and Nonprofit Organizations

Attachment A - Form SF-SAC and Instructions

OMB: 0607-0518

Document [pdf]

Download: pdf | pdf

Form SF-SAC Worksheet & Single Audit Component Checklist
For Audits With Fiscal Periods ending in 2022
Enter and Submit Form SF-SAC data and Single Audit package only at:
https://facides.census.gov/

AUDIT COMPONENTS REQUIRED FOR SINGLE AUDIT SUBMISSION:

Single Audit Component Checklist
Attention: Please review your audit report to make sure that Personally Identifiable Information, or PII, is not included. Examples
of PII are, but not limited to, Social Security Numbers, account numbers, vehicle identification numbers, copies of cancelled checks,
student names, dates of birth, personal addresses or personal phone numbers. Please make sure that Business Identifiable
Information, or BII, is not included. BII consists of information defined in the Freedom of Information Act (FOIA) as “trade secrets
and commercial or financial information obtained from a person [that is] privileged or confidential.”(5 U.S.C.552(b)(4)). This
information is exempt from automatic release under the (b)(4) FOIA exemption. “Commercial” is not confined to records that reveal
“basic commercial operations” but includes any records or information in which the submitter has a commercial interest, and can
include information submitted by a nonprofit entity.
___________________________________________________________________________________________
Please enter the starting pdf file page number for each of the following components. If auditor reports have been combined, then list
the starting page number of the combined report for each corresponding report on the checklist. If a component is not required, enter
'N/A' instead of a page number. Each component on the checklist must have a numeric page number or 'N/A' listed.

The following is a key for the Component Checklist
*

= Required (cannot be blank or 'N/A').

= Required if prior audit findings exist.

*** = Required if findings exist.
Note: These codes do not apply to a program specific audit.

Page Number

Component

Financial Statement(s) 2 CFR 200.510(a)

Opinion on Financial Statements 2 CFR 200.515(a)

Schedule of expenditures of Federal Awards 2 CFR 200.510(b)

Opinion or Disclaimer of Opinion on Schedule of Federal Awards 2 CFR 200.515(a)

Uniform Guidance Report on Internal Control 2 CFR 200.515(b) (major programs)

Uniform Guidance Report on Compliance 2 CFR 200.515(c) (major programs)

GAS Report on Internal Control 2 CFR 200.515(b)

GAS Report on Compliance 2 CFR 200.515(c)

Schedule of Findings and Questioned Costs 2 CFR 200.515(d)

Summary Schedule of Prior Audit Findings 2 CFR 200.511(b)

***

Corrective Action Plan (if findings) 2 CFR 200.511(c)

-1-

FORM SF-SAC (xx-xx-xxxx)

U.S. Dept. of Commerce - Economics and Statistics Administration - U.S. Census Bureau

OMB No. 0607-0518. Approval Expires 02/28/2025

ACTING AS THE COLLECTING AGENT FOR OFFICE OF MANAGEMENT AND BUDGET

Data Collection Form for Reporting on
AUDITS OF STATES, LOCAL GOVERNMENTS, INDIAN TRIBES,
INSTITUTIONS OF HIGHER EDUCATION, AND NONPROFIT ORGANIZATIONS
for Fiscal Period Ending Dates in 2022
PART I: GENERAL INFORMATION
1. Fiscal Period

REPORT ID: 806630 VERSION:
2. Type of Uniform Guidance Audit

a. Start Date
(MM/DD/YYYY)
b. End Date
(MM/DD/YYYY)

3. Audit Period Covered

Single audit

Annual

Program-specific audit

Biennial

Alternative Compliance
Examination Engagement

Other: Number of Months

4. Auditee Identification Numbers
a. Auditee Employer Identification Number (EIN)

d. Auditee Data Universal Numbering System (DUNS) Number

b. Are multiple EINs covered in this report?

e. Are multiple DUNS numbers covered in this report?

Yes

c. If Part I, Item 4b is Yes, complete the attached Auditee EIN
Continuation Sheet

f. If Part I, Item 4e is Yes, complete the attached Auditee DUNS
Continuation Sheet

g. Auditee Unique Entity Identification Number (UEI)

6. Primary Auditor Information
a. Audit Firm/Organization Name

h. Are multiple UEIs covered in this report?
Yes

b. Audit Firm/Organization EIN

i. If Part I, Item 4h is Yes, complete the attached Auditee UEI
Continuation Sheet
c. Audit Firm/Organization Address
5. Auditee Information

Number and Street

a. Auditee Name
City

State

Zip Code

d. Auditor Contact
Name

b. Auditee Address
Number and Street

Title
City

State

Zip Code
e. Auditor Contact Telephone

c. Auditee Contact Name
Title

f. Auditor Contact E-mail

d. Auditee Contact Telephone

g. Was a secondary auditor used?
Yes

e. Auditee Contact E-mail

h. If Part I, Item 6g is Yes, complete the attached Secondary
Auditors' Contact Information Sheet

FORM SF-SAC

PART III: INFORMATION
FROM THE SCHEDULE
OF FINDINGS AND
QUESTIONED COSTS

PART II: FEDERAL AWARDS

1. Major Program
Information and Audit
Findings

1. Federal Awards Expended During Fiscal Period
Schedule of Expenditures of Federal Awards

Version: 1

Report ID:

Loan Programs

Major Program
Major Program (MP)

($)

Y/N

Number of Audit Findings

If Passed Through, provide
Amount Passed Through

Y/N

If MP, Type of Audit Report 8

Federal Award Passed
Through to Subrecipients

through Entity, if assigned 7

Y/N

Passed Through
If not Direct, list Identifying
Number Assigned by the Pass-

($)

If not Direct, list Name of Passthrough Entity

Direct Award (Direct)

Y/N

Balance 6

($)

l
Federal Award Source

If Loan, the End of the Audit
Period Outstanding Loan

Cluster Total 5
(auto-generated)

($)

Loan/Loan Guarantee (Loan)

Federal Program Total 4
(auto-generated)

($)

Cluster Name

Amount Expended

Federal Program Name

CFDA Three-Digit Extension 2

Federal Awarding Agency Prefix 1

Row Number (auto-generated)

Additional Award Identification 3

CFDA #

1
2
Total Federal Awards Expended =
1. See Appendix I of instructions for valid Federal awarding agency two-digit prefixes.
2. Three-digit CFDA extensions listed in the Catalog of Federal Domestic Assistance (CFDA - beta.sam.gov). If the extension is unknown, see instructions.
3. Used to collect other data or information to identify the award which is not a CFDA number (e.g., program year, contract number). This item is optional if Part II, Item 1(b) has a valid CFDA extension.
4. The system will provide total Federal awards expended for each Federal program by summing the individual CFDA lines which have the same CFDA number.
5. The system will provide total Federal awards expended for each cluster of programs by summing the individual CFDA lines which have the same Cluster Name.
6. Used to collect the loan or loan guarantee (loan) balances outstanding at the end of the audit period for loan programs as identified in Part II, Item 1(i) (2 CFR 200.510(b)(5)). Enter "N/A" for loans made to students of an institution of higher education (IHE) where the IHE does
not make the loans (2 CFR 200.502(c)).
7. If no identifying number was assigned, enter "N/A".
8. If Major Program is marked "Y", enter only one letter (U = Unmodified opinion, Q = Qualified opinion, A = Adverse opinion, D = Disclaimer of opinion) corresponding to the type of audit report. If Major Program is marked "N", leave item blank.

FORM SF-SAC

Report ID:

Version: 1

PART II: FEDERAL AWARDS - Continued
2. Notes to the Schedule of Expenditures of Federal Awards (SEFA)
Note 1: Describe the significant accounting policies used in preparing the SEFA. (2 CFR 200.510(b)(6))

4,000
characters

Note 2: Did the auditee use the de minimis cost rate? (2 CFR 200.414(f))
Yes
No
Both
Please explain.

4,000
characters

Additional Notes
Note 3:

All additional notes included in the reporting package must be entered in this section and will be automatically numbered sequentially by the IDES
system as they are entered.
75 characters

4,000
characters

Report ID:

FORM SF-SAC

Version:

PART III: INFORMATION FROM THE SCHEDULE OF FINDINGS AND QUESTIONED COSTS - Continued
2. Financial Statements
a. What were the results of the auditor's determination of whether the financial statements of the auditee were prepared in accordance with
generally accepted accounting principles (GAAP)?
Select any combination of the following five options:
Unmodified opinion
Qualified opinion
Adverse opinion
Disclaimer of opinion
Financial statements were not prepared in accordance with GAAP but were prepared in accordance with a special purpose framework
If the financial statements of the auditee were prepared in accordance with GAAP, proceed to question b.
i. What was the special purpose framework used? (Select only one)
Cash basis
Tax basis
Regulatory basis
Contractual basis
Other basis
ii. Was the special purpose framework used as a basis of accounting required by state law?

Yes

iii. What was the auditor's opinion on the special purpose framework? (Select any combination)
Unmodified opinion
Qualified opinion
Adverse opinion
Disclaimer of opinion
b. Is a "going concern" emphasis-of-matter paragraph included in the auditor's report?

Yes

c. Is a significant deficiency in internal control disclosed?

Yes

d. Is a material weakness in internal control disclosed?

Yes

e. Is a material noncompliance disclosed?

Yes

3. Federal Programs
a. Does the auditor’s report include a statement that the auditee’s financial statements include
departments, agencies, or other organizational units expending Federal awards which are not included
in this audit? (AICPA Audit Guide)
b. What is the dollar threshold used to distinguish Type A and Type B programs? (2 CFR 200.518(b)(1))
c. Did the auditee qualify as a low-risk auditee? (2 CFR 200.520)

d. Indicate which Federal Agency(ies) have prior audit findings shown in the Summary Schedule of Prior Audit Findings related to direct funding.
List the appropriate Federal agency prefix(es), or enter "None".

FORM SF-SAC

Report ID:

Version: 1

PART III: INFORMATION FROM THE SCHEDULE OF FINDINGS AND QUESTIONED COSTS - Continued
4. Federal Award Audit Findings
Schedule of Findings and Questioned Costs
a
Row
Number
CFDA
from Part Number 1
II, Item 1

i
Type of Audit Finding

Additional
Award
Identification

XX.XXX

Federal Program Name

Amount
Expended

($)

Audit Finding
Reference
Number

Type(s) of
Compliance
Requirement(s) 2

Compliance Audit Findings

Repeat Audit Finding

Internal Control Audit Findings

Modified
Opinion

Other Matters

Material
Weakness

Significant
Deficiency

Y/N

YYYY-###

Other Audit
Findings
Y/N

Questioned
Costs

Repeat Audit
Finding from
Prior Year

If Repeat Finding, provide
Prior Year Audit Finding
Reference Number(s)

Y/N

YYYY-###,YYYY-###,etc.

2
1. A CFDA Number consists of the Federal agency two-digit prefix and CFDA three-digit extension (from Part II, Items 1(a) and 1(b)) separated by a period.
2. Enter the letter for each type of compliance requirement that applies to the audit findings (i.e., noncompliance, significant deficiency, material weakness, questioned costs, fraud, and other items reported under 2 CFR 200.516(a)) reported for each Federal
program. Only enter the type(s) of compliance requirement(s) the auditor was testing which generated the audit finding.
A. Activities allowed or unallowed

F. Equipment and real property management

K. Reserved

B. Allowable costs/cost principles

G. Matching, level of effort, earmarking

L. Reporting

C. Cash management

H. Period of performance (or availability) of Federal funds

M. Subrecipient monitoring

D. Reserved

I. Procurement and suspension and debarment

N. Special tests and provisions

E. Eligibility

J. Program income

P. Other

3. There are 9 valid combinations of "Compliance Audit Findings", "Internal Control Audit Findings", and "Other Audit Findings" for each Federal program with audit findings. (See chart in instructions after Part III, Item 4(k))

FORM SF-SAC

Report ID:

Version: 1

PART III: INFORMATION FROM THE SCHEDULE OF FINDINGS AND QUESTIONED COSTS - Continued
5. Text of the Audit Findings
a. Audit Finding Reference Number

b. Audit Finding Text

YYYY-###
30,000 characters

FORM SF-SAC

Report ID:

Version: 1

PART IV: CORRECTIVE ACTION PLAN
1. Audit Finding Reference Number

2. Text of the Corrective Action Plan

YYYY-###
10,000 characters

FORM SF-SAC

Report ID: 806630

Version: 1

Part V: CERTIFICATIONS
1. Auditee Certification Statement

2. Auditor Statement

I certify that, to the best of my knowledge and belief, the
auditee has:

I acknowledge that:

ensured that the Form SF-SAC data and reporting package
do not include protected personally identifiable information

the data elements and information included in this Form
SF-SAC are limited to those prescribed by the Office of
Management and Budget;

(Protected PII)1, or if they do, the Federal Audit Clearinghouse
(FAC) is authorized to publicly post all information contained in
the Form SF-SAC data and the reporting package;
ensured that the Form SF-SAC data and reporting package
do not include business identifiable information (BII)2, or if they
do, the FAC is authorized to publicly post all information
contained in the Form SF-SAC data and the reporting package;
complied with the requirements of 2 CFR Part 200
Subpart F specific to the auditee;
prepared the data in this Form SF-SAC in accordance with
2 CFR Part 200 Subpart F and the accompanying instructions to
this Form SF-SAC;
included all information required to be reported in this
Form SF-SAC in its entirety and such information is accurate and
complete;
engaged an auditor to perform an audit in accordance
with 2 CFR Part 200 Subpart F for the period described in Part I,
Items 1 and 3;

the information in Part II of this Form SF-SAC is the
responsibility of the auditee and is based on information
included in the reporting package required by the Uniform
Guidance;
the information included in Part III of this Form SF-SAC,
except for Part III, Item 3(d), and Items 4(a)-(d) (when there are
audit findings), was transferred by the auditor from the
auditor's report(s) for the period described in Part I, Items 1 and
3, and is not a substitute for such reports;
the auditor has not performed any auditing procedures
since the date of the auditor's report(s) or any additional
auditing procedures in connection with the completion of this
Form SF-SAC; and
a copy of the reporting package required by the Uniform
Guidance, which includes the complete auditor’s report(s), may
be made available by the Federal Audit Clearinghouse (FAC) on
the FAC website or from the auditee at the address listed in Part
I of this Form SF-SAC.

ensured the auditor has completed such audit and issued
the signed audit report required by 2 CFR 200.515 which states
that the audit was conducted in accordance with the audit
requirements of the Uniform Guidance; and
authorized the FAC to make the Form SF-SAC data and
reporting package publicly available on a website.
Auditee Certification Date

Auditor Signature Date

(MM/DD/YYYY)

Name of certifying official
(MM/DD/YYYY)

Title of certifying official

1. 2 CFR 200.79 and 2 CFR 200.82.
2. BII consists of information defined in the Freedom of Information Act (FOIA) as “trade secrets and commercial or financial information obtained from a person [that is]
privileged or confidential.” (5 U.S.C.552(b)(4)). This information is exempt from automatic release under the (b)(4) FOIA exemption. “Commercial” is not confined to
records that reveal “basic commercial operations” but includes any records or information in which the submitter has a commercial interest, and can include information
submitted by a nonprofit entity.

FORM SF-SAC

Report ID: 806630 Version: 1

Part V: CERTIFICATIONS
1. Auditee Certification Statement (Indian Tribe)

2. Auditor Statement

I certify that, to the best of my knowledge and belief, the
auditee has:

I acknowledge that:

qualified as an Indian Tribe or Tribal Organization1 and
opts not to authorize the Federal Audit Clearinghouse (FAC) to

the data elements and information included in this Form
SF-SAC are limited to those prescribed by the Office of
Management and Budget;

make the reporting package publicly available ;
ensured that the Form SF-SAC data and reporting
package do not include protected personally identifiable
information (Protected PII)3, or if they do, the FAC is authorized
to publicly post all information contained in the Form SF-SAC
data, except any texts entered in Part II, Item 2, Part III, Item
5(b) and Part IV, Item 2;

the information in Part II of this Form SF-SAC is the
responsibility of the auditee and is based on information
included in the reporting package required by the Uniform
Guidance;

the information included in Part III of this Form SF-SAC,
except for Part III, Item 3(d), and Items 4(a)-(d) (when there are
audit findings), was transferred by the auditor from the
ensured that the Form SF-SAC data and reporting
package do not include business identifiable information (BII)4, or auditor's report(s) for the period described in Part I, Items 1
and 3, and is not a substitute for such reports;
if they do, the FAC is authorized to publicly post all information
contained in the Form SF-SAC data, except any texts entered in
the auditor has not performed any auditing procedures
Part II, Item 2, Part III, Item 5(b) and Part IV, Item 2;
since the date of the auditor's report(s) or any additional
complied with the requirements of 2 CFR Part 200
auditing procedures in connection with the completion of this
Form SF-SAC; and
Subpart F specific to the auditee;
prepared the data in this Form SF-SAC in accordance with
2 CFR Part 200 Subpart F and the accompanying instructions to
this Form SF-SAC;
included all information required to be reported in this
Form SF-SAC in its entirety and such information is accurate and
complete;

a copy of the reporting package required by the Uniform
Guidance, which includes the complete auditor’s report(s), may
be made available by the Federal Audit Clearinghouse (FAC) on
the FAC website or from the auditee at the address listed in
Part I of this Form SF-SAC.

engaged an auditor to perform an audit in accordance
with 2 CFR Part 200 Subpart F for the period described in Part I,
Items 1 and 3;
ensured the auditor has completed such audit and issued
the signed audit report required by 2 CFR 200.515 which states
that the audit was conducted in accordance with the audit
requirements of the Uniform Guidance; and
authorized the FAC to make the Form SF-SAC data,
except any texts entered in Part II, Item 2, Part III, Item 5(b) and
Part IV, Item 2, publicly available on a website.
Auditee Certification Date

Auditor Signature Date

(MM/DD/YYYY)

Name of certifying official
(MM/DD/YYYY)

Title of certifying official

1. As defined in the Indian Self-Determination, Education and Assistance Act (ISDEAA), 25 U.S.C 5304
2. Tribes selecting this option must submit the reporting package to pass-through entities as described in 2 CFR 200.512(b)(2)
3. 2 CFR 200.79 and 2 CFR 200.82
4. BII consists of information defined in the Freedom of Information Act (FOIA) as “trade secrets and commercial or financial information obtained from a person [that is]
privileged or confidential.” (5 U.S.C.552(b)(4)). This information is exempt from automatic release under the (b)(4) FOIA exemption. “Commercial” is not confined to
records that reveal “basic commercial operations” but includes any records or information in which the submitter has a commercial interest, and can include information
submitted by a nonprofit entity.

FORM SF-SAC

Report ID: 806630

Version: 1

Part V: CERTIFICATIONS
1. Auditee Certification Statement (ACEE)

2. Practitioner Statement

I certify that, to the best of my knowledge and belief, the
auditee:

I acknowledge that:

is eligible for the Alternative Compliance Examination
Engagement (ACEE) on expenditures from its Department of
Treasury Coronavirus State and Local Fiscal Recovery Funds
(SLFRF) award as outlined in the SLFRF Compliance Supplement
section published by the Office of Management and Budget
(OMB), and has opted to follow the ACEE instead of a Single
Audit or Program-Specific Audit under 2 CFR Part 200, Subpart F;

the practitioner completed the Alternative Compliance
Examination Engagement in accordance with the requirements
as described in Appendix VII and the Part 4 SLFRF program
section of the Compliance Supplement published by OMB;

has ensured that all data submitted within the Form SF-SAC
and the ACEE report, do not include protected personally
identifiable information (Protected PII)1, or if they do, the
Federal Audit Clearinghouse (FAC) is authorized to publicly post
all information contained in the Form SF-SAC data and the ACEE
report;
has ensured that all data submitted within the Form SF-SAC
and the ACEE report, do not include any business identifiable
information (BII)2, or if they do, the FAC is authorized to publicly
post all information contained in the Form SF-SAC data and the
ACEE report;
has included all information required to be reported
in the sections of Form SF-SAC relevant to the ACEE, and such
information is accurate and complete;
has engaged a practitioner to perform an ACEE
as described in the SLFRF Compliance Supplement section
published by OMB;

the information in Part II of the Form SF-SAC relevant to
the Alternative Compliance Examination Engagement is the
responsibility of the auditee;
the information included in Part III of the Form SF-SAC
relevant to the Alternative Compliance Examination
Engagement was transferred by the practitioner from the
practitioner's report(s) for the period described in Part I, Items 1
and 3, and is not a substitute for such;
the practitioner has not performed any examination
procedures since the date of the practitioner's report(s) or any
additional examination procedures in connection with the
completion of this Form SF-SAC; and
a copy of the Alternative Compliance Examination
Engagement report may be made available by the Federal Audit
Clearinghouse (FAC) on the FAC website or from the auditee at
the address listed in Part I of this Form SF-SAC.

has ensured the practitioner completed the ACEE; and
has authorized the FAC to make the Form SF-SAC and
ACEE report publicly available on a website.
Auditee Certification Date

Practitioner Signature Date

(MM/DD/YYYY)

Name of certifying official
(MM/DD/YYYY)

Title of certifying official

1. 2 CFR 200.79 and 2 CFR 200.82.
2. BII consists of information defined in the Freedom of Information Act (FOIA) as “trade secrets and commercial or financial information obtained from a person [that is]
privileged or confidential.” (5 U.S.C.552(b)(4)). This information is exempt from automatic release under the (b)(4) FOIA exemption. “Commercial” is not confined to records
that reveal “basic commercial operations” but includes any records or information in which the submitter has a commercial interest, and can include information submitted
by a nonprofit entity.

FORM SF-SAC

Report ID: 806630 Version: 1

Part V: CERTIFICATIONS
1. Auditee Certification Statement (ACEE, Indian Tribe)

2. Practitioner Statement

I certify that, to the best of my knowledge and belief, the
auditee:

I acknowledge that:

the information in Part II of the Form SF-SAC relevant to
the Alternative Compliance Examination Engagement is the
responsibility of the auditee;

has qualified as an Indian Tribe or Tribal Organization
and opts not to authorize the Federal Audit Clearinghouse (FAC)
to make the reporting package publicly available2;

the information included in Part III of the Form SF-SAC
relevant to the Alternative Compliance Examination
Engagement was transferred by the practitioner from the
has ensured that all data submitted within the Form SF-SAC
practitioner's report(s) for the period described in Part I, Items
do not include protected personally identifiable information
1 and 3, and is not a substitute for such;
(Protected PII)3, or if they do, the Federal Audit Clearinghouse
(FAC) is authorized to publicly post all information contained in
the practitioner has not performed any examination
the Form SF-SAC data, except any texts entered in Part III, Item
procedures
since the date of the practitioner's report(s) or any
5(b) and Part IV, Item 2;
additional examination procedures in connection with the
completion of this Form SF-SAC; and
has ensured that all data submitted within the Form SFa copy of the Alternative Compliance Examination
do not include any business identifiable information (BII)4, or if
Engagement
report may be made available by the Federal
they do, the FAC is authorized to publicly post all information
Audit Clearinghouse (FAC) on the FAC website or from the
contained in the Form SF-SAC data, except any texts entered in
auditee at the address listed in Part I of this Form SF-SAC.
Part III, Item 5(b) and Part IV, Item 2;

has included all information in the sections of the Form
SF-SAC relevant to the ACEE, and such information is accurate
and complete;
has engaged a practitioner to perform an ACEE as
described in the SLFRF Compliance Supplement section
published by OMB;
has ensured the practitioner completed the ACEE; and
has authorized the FAC to make the Form SF-SAC data,
except any texts entered in Part II, Item 2, Part III, Item 5(b) and
Part IV, Item 2, publicly available on a website.
Auditee Certification Date

Practitioner Signature Date

(MM/DD/YYYY)

Name of certifying official
(MM/DD/YYYY)

Title of certifying official

FORM SF-SAC

Report ID:

Part 1: GENERAL INFORMATION - Continued
4.c. Auditee EIN Continuation Sheet

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Version: 1

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FORM SF-SAC

Report ID:

Part 1: GENERAL INFORMATION - Continued
4.f. Auditee DUNS Continuation Sheet

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Version: 1

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FORM SF-SAC

Report ID: 806630

Version: 1

Part 1: GENERAL INFORMATION - Continued
4.i. Auditee UEI Continuation Sheet

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FORM SF-SAC

Report ID:

Version: 1

Part 1: GENERAL INFORMATION - Continued
6.h. Secondary Auditors' Contact Information Sheet
i
Audit Firm/
Organization Name

iii

Audit Firm/
Audit Firm/
Organization Organization Address
(Number and Street)
EIN

vii

viii

Audit Firm/
Organization City

Audit Firm/
Organization
State

Audit Firm/
Organization
Zip Code

Contact Name

Contact Title

Contact
Phone
Number

Contact E-mail

xx-xx-xxxx

Instructions for Form SF-SAC,

Reporting on Audits of States, Local Governments, Indian Tribes,
Institutions of Higher Education and Nonprofit Organizations
for Fiscal Period Ending Dates in

2022

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 OMB No. 0607-0518. The time required to complete this data
collection form, Form SF-SAC, is estimated to average 100 hours for large auditees (i.e., auditees most likely to administer a large number of
Federal awards) and 21 hours for all other auditees. These amounts reflect estimates of the reporting burden on both auditees and auditors
individually, meaning that the reporting burden is 100 or 21 hours for auditees and 100 or 21 hours for auditors. The burden hours include the time
required to review instructions, obtain the needed data, and complete and review the information. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden, to: ERD Survey Comments 0607-0518, U.S.
Census Bureau, 4600 Silver Hill Road, Room ERD-6H128, Washington, DC 20233. You may email comments to [email protected]. Be sure
to use “ERD Survey Comments 0607-0518” as the subject.

WHAT’S NEW

The Office of Management and Budget (OMB) Title 2 U.S.
Code of Federal Regulations (CFR) Part 200, Uniform
Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards (Uniform Guidance)
Section 512 requires auditees to submit a completed Form
SF-SAC, along with one complete reporting package, to the
Federal Audit Clearinghouse (FAC). The reporting package is
defined in 2 CFR 200.512(c). Indian Tribes and Tribal
Organizations (as defined in the Indian Self-Determination,
Education and Assistance Act (ISDEAA), 25 U.S.C 5304) which
opt not to authorize the FAC to make the reporting package
publicly available must submit the reporting package to passthrough entities as described in 2 CFR 200.512(b)(2);
submissions to a pass-through entity should not include the Form
SF-SAC.

Unique Entity Identifier - This form utilizes the
Unique Entity Identifier (UEI). The UEI is a 12 digit,
alphanumeric value, that is assigned to entities upon
registration in SAM.gov. The UEI data fields can be
found on Part 1, Item 4(g), (h), and (i) on form SFSAC.
Alternative Compliance Examination
Engagement - Under its authority under 2 CFR
section 200.102(a), OMB has authorized the use of
an Alternative Compliance Examination
Engagement for certain eligible recipients of the
Coronavirus State and Local Fiscal Recovery Fund
program in lieu of a full single audit or programspecific audit under 2 CFR 200, Subpart F.
Therefore, Form SF-SAC has been revised to add a
new screening question during report setup. Entities
that qualify and opt for the Alternative Compliance
Examination Engagement will then receive a subset
of questions included in Form SF-SAC. For further
guidance on how to enter data for the items
pertaining to Alternative Compliance Examination
Engagements, please refer to the Internet Data
Entry System (IDES) Manual or contact The
Department of Treasury.

Auditees should not submit a reporting package or Form SF-SAC
if their Uniform Guidance audit report is included in another
auditee’s report.
Example: If the audit of a state university’s Federal awards
is included in the statewide single audit report and Form
SF-SAC, the university should not submit a reporting
package or Form SF-SAC to the FAC.
This Form SF-SAC version, dated xx-xx-xxxx, is to be
used for audits covering fiscal periods ending in 2022.
This Form SF- SAC is only available for submission on the
FAC Website: https://facweb.census.gov/.
Audit threshold for Federal expenditures is $750,000 per
year. The Uniform Guidance requires non-Federal entities that
expend $750,000 or more a year in Federal awards to have an
audit conducted in accordance with the Uniform Guidance.
The Form SF-SAC is not to be used by for-profit entities,
foreign public entities, or foreign organizations. These
entities should contact the Federal awarding agency for audit
report submission instructions.

Item 3 - Audit Period Covered
Mark the appropriate box. Annual audits cover 12 months and
biennial audits cover 24 months. If the audit period covered is
neither annual nor biennial, mark “Other” and provide the number
of months covered in the space provided. The number of months
must be entered as a two-digit number (e.g., for three months
enter ‘03’). See 2 CFR 200.504 for guidelines about the
frequency of audits.

SUBMISSION TO THE FEDERAL AUDIT CLEARINGHOUSE
Auditees are required to submit through the FAC website. The
only approved Form SF-SAC format is created using the Internet
Data Entry System (IDES) option on the FAC website. The FAC
IDES website is located at: https://facides.census.gov/.
Submission instructions are available on the IDES website.
Revisions
The instructions for submitting revisions are available on the
IDES website.

Item 4 - Auditee Identification Numbers
(a) Auditee Employer Identification Number (EIN) - Enter the
Auditee’s Employer Identification Number (EIN), the nine-digit
taxpayer identification number assigned by the Internal Revenue
Service (IRS). If the auditee was assigned multiple EINs, enter
the primary EIN. Social Security Numbers must not be used.

Form Due Date
The audit must be completed and the data collection form and
reporting package must be electronically submitted within the
earlier of 30 days after receipt of the auditor's report(s) or nine
months after the end of the audit period. If the due date falls on a
Saturday, Sunday, or Federal holiday, the reporting package is
due the next business day (2 CFR 200.512(a)). The Uniform
Guidance does not permit Federal awarding agencies or passthrough entities to extend the due date.

(b) Are multiple EINs covered in this report? - Mark the
appropriate “Yes” or “No” box to indicate if the auditee (or
components of an auditee covered by the audit) was assigned
more than one EIN by the IRS (e.g., a statewide audit covers
many departments, each of which may have its own EIN).
(c) Auditee EIN Continuation Sheet - If “Yes” was marked for
multiple EINs, list the additional EINs for all entities covered by the
audit on the Auditee EIN Continuation Sheet. Report an EIN in this
appendix if this submission is intended to satisfy the entity’s or
component’s (e.g., State Agency, sub-entity) Single Audit
requirement. Do not include separate EINs for any component that
did not receive, expend, or otherwise administer Federal awards.
Do not include the primary EIN in Part I, Item 4(c).

WHO TO CONTACT WITH QUESTIONS
For technical audit questions, please contact the auditee’s
Federal cognizant or oversight agency for audit. Contact
information for each Federal agency is provided in Appendix III of
the Compliance Supplement as “Federal Agency Single Audit
Contacts”.
For questions related to a specific Federal program, please
contact the Federal agency from which the award originated.
Contact information for each program listed in the Compliance
Supplement is provided in Appendix III of the Supplement as
“Federal Agency Program Contacts”.

Note: Instructions for uploading additional EINs are available
on the FAC IDES website.
(d) Auditee Data Universal Numbering System (DUNS)
Number - Enter the Auditee’s Data Universal Numbering System
(DUNS) number, the unique nine-digit identification sequence
assigned by Dun & Bradstreet (D&B) (available from the D&B
DUNS registration hotline at 866-705-5711). All auditees who
submit a Form SF-SAC are requested, but not required to report
the DUNS number on Part I, Item 4(d) of the Form SF-SAC. If
there is no DUNS number, leave this item blank.

For questions concerning the Form SF-SAC submission process
or the form (e.g., how to report information on the form, reason for
rejection of a form or reporting package, or how to amend or
retract a previously accepted submission), contact the FAC at
866-306-8779 or [email protected]. Frequently
Asked Questions and User Manuals can be found on the IDES
website.
DESCRIPTION OF FORM

(e) Are multiple DUNS numbers covered in this report? Mark the appropriate “Yes” or “No” box to indicate if a component
entity (e.g., State agency, sub-entity) expending Federal awards
is covered in the audit report.

PART I: GENERAL INFORMATION
This section is completed by both the auditee (items 1 through 5)
and auditor (item 6).

(f) Auditee DUNS Continuation Sheet - If “Yes” was marked for
multiple DUNS numbers, list the additional DUNS numbers on
the Auditee DUNS Continuation Sheet. Report a DUNS number
in this appendix if it identifies a component entity (e.g., State
Agency, sub-entity) of the auditee with Federal awards expended
during the fiscal period included in the audit. Do not include
separate DUNS numbers for any component entity that did not
expend or otherwise administer Federal awards. The order of the
DUNS listings is not important.

Item 1 - Fiscal Period
Once a form has been started within the IDES, the four-digit year
of the fiscal period cannot be changed.
(a) Start Date - Enter the first date of the fiscal period covered by
the audit.
(b) End Date - Enter the last date of the fiscal period covered by
the audit.
Item 2 - Type of Uniform Guidance Audit
Mark the appropriate box. Non-Federal entities that expend
$750,000 or more in a year in Federal awards to have a single
audit conducted, except when they elect to have a programspecific audit conducted in accordance with 2 CFR 200.507 (2
CFR 200.501). If entity is submitting under Alternative
Compliance Examination Engagement, this field will be
marked 'A'.

Note: Instructions for uploading additional DUNS numbers are
available on the FAC IDES website.
Example 1: Component Unit reporting: The Smith County
Sheriff’s Office applied for and expended its own Federal
grants using its own DUNS number. However, the Smith

(b-e) Enter the auditee address and contact information.

County Government Finance Office required the Sheriff’s Office
grants to be reported as a component of Smith County’s Single
Audit. Smith County should enter the Smith County DUNS number
as the principal DUNS number in Item 4(d), mark Item 4(e) “Yes”,
and enter the Smith County Sheriff’s Office DUNS number in Item
4(f).

Item 6 - Primary Auditor Information
Where multiple audit organizations are used to conduct the audit
work, only the lead or coordinating auditor shall provide its
information in Part I, Items 6(a)-(f). The other auditors may enter
their contact information in Item 6(h), the Secondary Auditors’
Contact Information Sheet.

Example 2: Non-component Unit reporting: The Jones County
Sheriff’s Office applied for and expended Federal grants using its
own DUNS number. The Jones County Sheriff’s Office prepared
and submitted an independent Single Audit. The Jones County
Sheriff’s Office should enter its DUNS number as the principal
DUNS number in Item
4(d), and mark Item 4(e) “No”.

(a-b) Enter the name and EIN of the primary auditor that conducted
the audit in accordance with the Uniform Guidance. Auditors must
not use any Social Security Numbers as their EIN. To apply for an
EIN, follow the guidance of the IRS, located at http://www.irs.gov/.
The auditor name may represent a sole practitioner, certified public
accounting firm, State auditor, etc.

Example 3: Financial Administration: A State University system
audit covers the Federal award expenditures of every campus in the
system. Each University or campus in the system applied for and
expended its own direct Federal grants using its own DUNS
number. The State Board of Education served only as a conduit for
the disbursement of Federal awards to each University and campus.
The audit of the State University system should list the payee’s
(State Board of Education) DUNS number as the primary DUNS
number in Item 4(d), mark Item 4(e) “Yes”, and list the DUNS
numbers for each campus listed in the original grant applications in
Item 4(f).

(c-f) Enter the address and contact information of the primary
auditor.
(g) Was a secondary auditor used? - Mark the appropriate
“Yes” or “No” box to indicate whether multiple auditors contributed
to the audit.
Note: only the primary auditor will sign the auditor
statement in Part V, Item 2.

(h) Secondary Auditors’ Contact Information Sheet - If “Yes”
was marked for secondary auditors, enter the name, EIN, and
contact information of the secondary auditor organization(s) used
to conduct the audit work on the Secondary Auditors’ Contact
Information Sheet.

(g) Unique Entity Identifier (UEI) - Enter the Auditee’s Unique
Entity Identifier (UEI), the twelve character, alphanumeric value
assigned by SAM.gov. If the auditee was assigned multiple UEIs,
enter the primary UEI.
(h) Are multiple UEIs covered in this report? - Mark the
appropriate “Yes” or “No” box to indicate if the auditee (or
components of an auditee covered by the audit) was assigned more
than one UEI by SAM.gov (e.g., a statewide audit covers many
departments, each of which may have its own UEI).
(i) Auditee UEI Continuation Sheet - If “Yes” was marked for
multiple UEIs, list the additional UEIs for all entities covered by the
audit on the Auditee UEI Continuation Sheet. Report an UEI in this
appendix if this submission is intended to satisfy the entity’s or
component’s (e.g., State Agency, sub-entity) Single Audit
requirement. Do not include separate UEIs for any component that
did not receive, expend, or otherwise administer Federal awards. Do
not include the primary UEI in Part I, Item 4(g).

Item 5 - Auditee Information
(a) Enter the auditee name associated with the primary EIN.
When possible, this name must match to the name assigned
to the primary EIN by the IRS.

Note: Department of Housing and Urban Development project
numbers are optional, and may be included with the auditee name.

PART II: FEDERAL AWARDS
This section is completed by the auditee. Respondents eligible
and opting for the Coronavirus State and Local Fiscal Recovery
Fund (SLFRF) Alternative Compliance Examination Engagement
will only enter SLFRF program information as the scope of the
examination only covers that funding. See the Part 4 SLFRF
section and Appendix VII of the 2022 OMB Compliance
Supplement for more detail about the SLFRF Alternative
Compliance Examination Engagement.

Programs with a CFDA Number
If the Federal program is listed in the CFDA, enter the last
three digits of the CFDA number in the CFDA Three-Digit
Extension field.
Programs with No CFDA Number or the CFDA Number is
Unknown
If the three-digit CFDA extension is unknown, enter a “U”
followed by a two-digit number in the CFDA extension to
identify one or more Federal award lines that form the program.
This will allow the IDES to automatically calculate the Federal
Program Total and Cluster Total (Part II, Items 1(g) and 1(h)).

Items 1 and 2 include the required information for each Federal
program to be presented in the Schedule of Expenditures of
Federal Awards (SEFA), and notes thereto, regardless of whether
audit findings are reported.

For more information on Federal program determination
when a CFDA extension is unknown, see 2 CFR 200.42(b).

The IDES system allows all respondents to enter the Federal
awards and Notes to the SEFA prior to the end of their fiscal
period and the audit work being conducted. Once this information
is entered, users may generate a customizable SEFA and Notes
to the SEFA from the IDES to include in their reporting package.

Example: The first Federal program with an unknown
three-digit extension would be U01 for all award lines
associated with that program, the second would be U02,
and so on.
Note: The two-digit number can start over for each Federal
Agency or continue throughout the remainder of the data
collection form.

Item 1 - Federal Awards Expended During Fiscal Period
List each program by Federal agency for which Federal awards
were expended. List individual programs in each row.
Note: If the SEFA has already been created, list the programs in
the same order as shown in the SEFA in the reporting package.

Programs that are part of the R&D Cluster and the
CFDA Number is Unknown
If the Federal program is part of the Research and
Development (R&D) cluster and the three-digit CFDA
extension is unknown, enter “RD” in the CFDA Three-Digit
Extension field.

While not required, the auditee may choose to provide information
requested by Federal awarding agencies and pass- through
entities to make the schedule easier to use. For example, when a
Federal program has multiple Federal award years, the amount of
Federal awards expended for each Federal award year may be
listed separately, as stated in 2 CFR 200.510(b). As a best
practice, loan and non-loan components within the same program
should be listed separately. If an indirect award has multiple passthrough entities, these should each be entered on separate award
lines with the specific amount expended from that pass-through
entity. If multiple lines are entered for a Federal program, then the
amount passed through to subrecipients must only be the amount
relevant to that specific line on the data collection form.

Note: If the Federal program is part of the R&D cluster
and the CFDA Three-Digit Extension is known, enter the
CFDA Three-Digit Extension.

(c) Additional Award Identification - Enter other data used
to identify the award which is not a CFDA number (e.g.,
program year, contract number, state issued numbers, etc.).
Part II, Item 1(c) is a required field if Item 1(b) is unknown. If
Item 1(b) has a valid CFDA Extension, then Item 1(c) is
optional.

CFDA Number
Most Federal programs are listed in the Catalog of Federal
Domestic Assistance (CFDA). A CFDA number consists of a twodigit prefix and a three-digit extension separated by a period. If
this information is unavailable, consult the Federal awarding
agency or pass-through entity to obtain this number. The CFDA
catalog is available at: https://beta.sam.gov. If the Federal
program does not have a CFDA number, follow the specific
instructions below.

(d) Federal Program Name - Enter the name of the Federal
program as shown in the CFDA. If the program is not listed in
the CFDA, a description of the award recognizable by the
Federal awarding agency or pass-through entity should be
entered.

(a) Federal Awarding Agency Prefix - Enter the first two digits
of the CFDA number. The CFDA prefix identifies the Federal
awarding agency listed in Appendix I of these instructions. If the
Federal awarding agency does not have a CFDA prefix, use one
of the prefixes (noted with an asterisk) assigned for reporting
purposes only. Respondents eligible and opting for the SLFRF
Alternative Compliance Examination Engagement will only enter
SLFRF program information.
(b) CFDA Three-Digit Extension - The period from the CFDA
number is automatically assumed and must not be entered.
Respondents eligible and opting for the SLFRF Alternative
Compliance Examination Engagement will only enter SLFRF
program information.

Note: If a valid Federal Agency Prefix and CFDA Three-Digit
Extension combination is entered, the IDES will auto-generate
the Federal Program Name with the name of the Federal
program from the CFDA catalog. This information can be
edited.

Federal Award Source
If an award was not received directly from the Federal awarding
agency (received as a subrecipient), the name of the passthrough entity and identifying number assigned by the passthrough entity are required (2 CFR 200.510(b)(2)).

(e) Amount Expended - Enter the amount of expenditures for
each Federal award. Round to the nearest whole dollar. This will
allow the IDES to automatically calculate the total Federal awards
expended as determined in accordance with 2 CFR 200.502.
Respondents eligible and opting for the SLFRF Alternative
Compliance Examination Engagement will only enter SLFRF
program information.

(k) Direct Award (Direct) - Mark either “Y” for Yes or “N” for No
to indicate whether the award was received directly from a
Federal awarding agency. When an award consists of both direct
and indirect funds, list the direct expenditure detail on one line
and the indirect expenditure detail on a second line.

(f) Cluster Name - Enter the name of the cluster of programs
using the drop-down menu. If the program is not part of a cluster,
mark “N/A” for no cluster. If the program is part of a state cluster,
mark “State Cluster” and enter the State Cluster name in the box
provided within the IDES. If the name of the cluster does not
appear in the list, mark “Other Cluster” and enter the cluster
name in the box provided within the IDES.

Note: When a single audit reporting entity receives direct awards
and transfers them to another part of the same single audit
reporting entity, these awards must still be reported as direct
(e.g., transfers within the single audit reporting entity do not
create a pass-through entity/subrecipient relationship).

Note: Please notify the FAC if you discover clusters that do not
appear in the drop-down menu (not including State Clusters).

(l) If not Direct, list Name of Pass-through Entity - If “N” was
marked for direct award, enter the name of the pass-through
entity as required by 2 CFR 200.510(b)(2). If a program has
multiple pass-through entities, multiple award lines should be
entered, with each award line entered having a unique passthrough entity name.

(g) Federal Program Total - The IDES will auto-generate the
total Federal awards expended for each individual Federal
program as required by 2 CFR 200.510(b)(3) by summing the
amount expended for all line items with the same CFDA Number.
(h) Cluster Total - The IDES will auto-generate the total Federal
awards expended for each cluster of programs as required by 2
CFR 200.510(b)(3) by summing the amount expended for all line
items with the same Cluster Name.

(m) If not Direct, list Identifying Number Assigned by the
Pass-through Entity, if assigned - If “N” was marked for direct
award, enter the identifying number assigned by the passthrough entity, if assigned, as required by 2 CFR 200.510(b)(2). If
a program has multiple pass-through identifying numbers, the
data collection form will accept multiple identifying numbers
assigned by each pass-through entity. If there is not an identifying
number assigned by the pass-through entity, enter
“N/A” in this field.

Loan Programs
Loan or loan guarantees (loans) are described in 2 CFR 200.502.
In addition to including the total Federal awards expended for
loans, the balances outstanding at the end of the audit period
must be identified in the notes to the schedule as required by 2
CFR 200.510(b)(5).

Passed Through
If an award was passed through to any subrecipients, the total
amount provided to subrecipients for each Federal program is
required (2 CFR 200.510(b)(4)).

(i) Loan/Loan Guarantee (Loan) - Mark either “Y” for Yes or
“N” for No to indicate whether the program is a Federal loan or a
Federal loan guarantee.

(n) Federal Award Passed Through to Subrecipients - Mark
either “Y” for Yes or “N” for No to indicate whether funds were
passed through to any subrecipients for the Federal award.

(j) If Loan, the End of the Audit Period Outstanding Loan
Balance - If “Y” was marked for loan/loan guarantee, enter the
loan or loan guarantee (loan) balances outstanding at the end of
the audit period as required by 2 CFR 200.510(b)(5). If the
outstanding loan balance is not applicable, enter “N/A”.

Note: When a single audit reporting entity receives direct awards
and transfers them to another part of the same single audit
reporting entity, these awards must not be reported as passed
through to subrecipients (e.g., transfers within the single audit
reporting entity do not create a pass-through entity/subrecipient
relationship).

Example: Enter “N/A” for loans made to students of an Institution
of Higher Education (IHE) where the IHE does not make the
loans (2 CFR 200.502(c

(o) If Passed Through, provide Amount Passed Through - If
“Y” was marked for award passed through to subrecipients, enter
the amount passed through to subrecipients as required by 2
CFR 200.510(b)(4). The amount passed through is included in
the amount expended entered in Part II, Item 1(e). If multiple lines
are entered for a Federal program, then the amount passed
through to subrecipients must only be the amount relevant to that
specific award line on the data collection form.

IDES, and there is no limit to the number of notes that can be
entered. The automatic numbering of the additional notes may
differ from the note number in the reporting package. If the note
in the reporting package has been identified with a note number,
enter that note number from the reporting package in the title field
of the additional note.
Note: This section is intended to capture the loan/loan
guarantee note, if applicable, as Note 3, as well as all other
additional SEFA notes included in the reporting package.

Item 2 - Notes to the Schedule of Expenditures of Federal
Awards (SEFA) (Not applicable to Alternative Compliance
Examination Engagements.)
Note: If the auditee qualified as an Indian Tribe or Tribal
Organization (as defined in the Indian Self-Determination,
Education and Assistance Act (ISDEAA), 25 U.S.C 5304) and
opts not to authorize the FAC to make the reporting package
publicly available, the text in Part II, Item 2 will not be publicly
displayed on the Form SF-SAC. Instead, the text “Exemption
for Indian Tribes” will be displayed in Part II, Item 2 for each
note. However, for Note 2, the “Yes”, “No”, or “Both” answer
will still be displayed publicly.

Note 3: Loan/loan guarantee outstanding balances - If “Y”
was marked for Part II, Item 1(i), enter the loan/loan guarantee
information, including the loan balances outstanding at the end of
the audit period (2 CFR 200.510(b)(5)). The outstanding loan
balances will be auto-generated based on the information
entered into Part II, Item 1 (a)-(d) and (j) for awards identified as
being a Federal loan or loan guarantee. The auto-generated text
may be edited as needed to match the loan information from the
Notes in the reporting package. If “N” was marked for Part II, Item
1(i), enter the first additional note in this item.

Note: Due to formatting restrictions in the FAC database, the
text input in this item may not convey the full meaning of the
Notes to the SEFA. Users should refer to the reporting
package to view the text as it was intended.

PART III: INFORMATION FROM THE SCHEDULE OF
FINDINGS AND QUESTIONED COSTS
This section is completed by both the auditee and auditor.
All information for this section should be obtained from the
Schedule of Findings and Questioned Costs and the opinions on
the financial statements and reports in accordance with the
Generally Accepted Government Auditing Standards (GAGAS)
related to the financial statement audit, which are completed by
the auditor, and the Summary Schedule of Prior Audit Findings,
which is completed by the auditee.

Note: If the Notes to the SEFA has already been created,
enter the text as it appears in your Notes to the SEFA,
excluding charts or tables. If there are any charts or tables
within the text, enter “See the Notes to the SEFA for
chart/table” in place of the chart or table within the text. The
rest of the text is required to be entered. Do not enter “See
reporting package” in lieu of the text of the notes to the SEFA.
If there are any footnotes within the text, enter “See Notes to
the SEFA for footnote” at the end of the text in place of any
footnotes.

Item 1 - Major Program Information and Audit Findings
The information to complete this item is obtained from the
Schedule of Findings and Questioned Costs prepared by the
auditor.

Note 1: Describe the significant accounting policies used in
preparing the SEFA. - Enter a description of the significant
accounting policies used in preparing the SEFA (2 CFR
200.510(b)(6)). If there are multiple notes covering the significant
accounting policies, all applicable notes from the reporting
package should be copied and pasted into this item.

Major Program
(a) Major program (MP) - Mark either “Y” for Yes or “N” for No to
indicate whether the Federal program is a major program, as
defined in 2 CFR 200.518.

Note 2: Did the auditee use the de minimis cost rate? - Mark
the appropriate “Yes”, “No”, or “Both” box (2 CFR 200.414(f)),
then enter an explanation. The explanation will auto-populate
based on the box that is marked. This auto-populated text will be
editable.

(b) If MP, Type of Audit Report - If “Y” was marked for major
program, enter one letter (U, Q, A, or D) corresponding to the
type of audit report on the major program. Enter either “U” for
Unmodified opinion, “Q” for Qualified opinion, “A” for Adverse
opinion, or “D” for Disclaimer of opinion. For clusters of programs,
the type of audit report must apply to the cluster as a whole.
Therefore, the same type of audit report must be entered for all
programs in a cluster. If the program is not a major program,
leave the “Type of Audit Report” blank.

If “Yes” is marked, the following statement will auto-populate in
the explanation box for Note 2:
“The auditee used the de minimis cost rate.”
If “No” is marked, the following statement will auto-populate in
the explanation box for Note 2:
“The auditee did not use the de minimis cost rate.”

Note: If multiple lines are listed for the same CFDA number, all
of these lines must have the same major program
determination and type of audit report on major program.

If “Both” is marked, enter the explanation text manually.

(c) Number of Audit Findings - Enter the number of audit
findings for each Federal program. If there are no audit findings,
enter “0” (zero).

Example: “Both” should be marked if a State as a whole
uses a negotiated indirect cost rate of 7%, but a
component included in the State’s single audit report uses
a 10% de minimis cost rate.

Example: If the Federal program is part of a cluster where
an audit finding references some, but not all, of the CFDA
numbers within the cluster of programs (e.g., Research and
Development), only list the finding on the applicable award
lines with the CFDA numbers referenced in the audit finding.

Additional Notes
Enter all additional notes. Availability will be provided to enter
additional numbered notes and titles for those notes into the

Item 2 - Financial Statements (Not applicable to Alternative
Compliance Examination Engagements).

with GAGAS related to the financial statement audit prepared by
the auditor and the Summary Schedule of Prior Audit Findings
prepared by the auditee.

The information to complete this item is obtained from the
opinions on the financial statements and reports in accordance
with GAGAS related to the financial statement audit prepared by
the auditor.

(a) Does the auditor’s report include a statement that the
auditee’s financial statements include departments,
agencies, or other organizational units expending Federal
awards which are not included in this audit? - Mark the
appropriate “Yes” or “No” box. According to AICPA Audit Guide
“Government Auditing Standards and Single Audits”, if the audit
of Federal awards did not encompass the entirety of the auditee’s
operations expending Federal awards, the operations that are not
included are identified in a separate paragraph following the first
paragraph of the report on major programs.

(a) What were the results of the auditor's determination of
whether the financial statements of the auditee were
prepared in accordance with generally accepted accounting
principles (GAAP)? - Mark any combination of “Unmodified
opinion”, “Qualified opinion”, “Adverse opinion”, or “Disclaimer of
opinion”, as applicable.

(b) What is the dollar threshold used to distinguish Type A
and Type B programs? - Enter the dollar threshold used to
distinguish between Type A and Type B programs as described
in 2 CFR 200.518(b)(1), or 2 CFR 200.518(b)(3) when a
recalculation of the Type A threshold is required for large loan or
loan guarantees. The dollar threshold must be $750,000 or
higher. Round to the nearest whole dollar.

Audits of state and local governments prepared in accordance
with GAAP often result in the auditor providing multiple opinions
on various opinion units within the financial statements. In
situations where there are unmodified opinions on some opinion
units and modified opinions on others, multiple boxes should be
marked in response to this question.
If the financial statements were not prepared in accordance with
GAAP, but were instead prepared in accordance with a special
purpose framework as defined in AU-C Section 800 - “Special
Considerations - Audits of Financial Statements Prepared in
Accordance With Special Purpose Framework”, mark “Adverse
opinion” for purposes of completing this question and then mark
the box which says “Financial statements were not prepared in
accordance with GAAP but were prepared in accordance with a
special purpose framework”.

(c) Did the auditee qualify as a low-risk auditee? - Mark the
appropriate “Yes” or “No” box (2 CFR 200.520).
(d) Indicate which Federal Agency(ies) have prior audit
findings shown in the Summary Schedule of Prior Audit
Findings related to direct funding. - List the appropriate
Federal agency prefix(es) or enter “None”. Include the Federal
agency(ies) only if the Summary Schedule of Prior Audit Findings
reports the status of any audit findings relating to direct Federal
awards expended.

Items (i), (ii), and (iii) can only be completed if the
statements were prepared in accordance with a special
purpose framework to provide more information about the
special purpose framework and auditor reporting thereon.

Item 4 - Federal Award Audit Findings
The information to complete this item is obtained from the
Schedule of Findings and Questioned Costs prepared by the
auditor and directly corresponds to the number of audit findings
indicated in Part III, Item 1(c). For each audit finding noted in Part
III, Item 1(c) the details will be entered in Part III, Item 4. If Part
III, Item 1(c) is “0” (zero), no information will appear for that
Federal Award in Part III, Item 4. This section is used to collect
only Federal award audit findings, not other findings such as
findings related to the financial statements.

(i) What was the special purpose framework used? - Mark the
appropriate box to indicate whether the special purpose
framework used was a cash, tax, regulatory, contractual, or other
basis of accounting using the definitions in AU-C Section 800.
(ii) Was the special purpose framework used as a basis of
accounting required by state law? - Mark the appropriate “Yes”
or “No” box. Mark “No” if the special purpose framework was
permitted by state law but not required.

Row Number from Part II, Item 1 - This number allows each
audit finding to correspond to the CFDA line on the SEFA.

Note: The response to this question will affect whether an
entity can qualify as a low-risk auditee in the two subsequent
audit periods (2 CFR 200.520(b)).

(a) CFDA Number - The CFDA number as shown in Part II,
Items 1(a) and 1(b) will be auto-generated when Part III, Item 1(c)
is greater than zero.

(iii) What was the auditor’s opinion on the special purpose
framework? - Mark any combination of “Unmodified opinion”,
“Qualified opinion”, “Adverse opinion”, or “Disclaimer of opinion”.

(b) Additional Award Identification - The Additional Award
Identification as shown in Part II, Item 1(c) will be auto-generated
when Part III, Item 1(c) is greater than zero.

(b) Is a “going concern” emphasis-of-matter paragraph
included in the auditor’s report? - Mark the appropriate “Yes”
or “No” box.

(c) Federal Program Name - The name of the Federal program
as shown in Part II, Item 1(d) will be auto-generated when Part
III, Item 1(c) is greater than zero.

(d) Amount Expended - The amount expended as shown in Part
II, Item 1(e) will be auto-generated when Part III, Item 1(c) is
greater than zero.

(d) Is a material weakness in internal control disclosed? Mark the appropriate “Yes” or “No” box.
(e) Is a material noncompliance disclosed? - Mark the
appropriate “Yes” or “No” box.
Item 3 - Federal Programs - (Not applicable to Alternative
Compliance Examination Engagements).
The information to complete this item is obtained from the
opinions on the financial statements and reports in accordance

(e) Audit Finding Reference Number - Enter the audit finding
reference number for the audit finding. The required format for
the audit finding reference numbers is the four-digit audit year
(Part I, Item 1), a hyphen and a three-digit number (e.g., 2019001, 2019-002, …, 2019-999). Audit finding reference numbers

(g)

on the Form SF-SAC must match those reported in the Schedule
of Findings and Questioned Costs and applicable auditor’s
reports.

Compliance Audit Findings

(f) Type(s) of Compliance Requirement(s) - Using letters from
Part 3 of the Compliance Supplement, or P (for “Other”), list all
type(s) of compliance requirement(s) that apply to the audit
findings. The Type(s) of Compliance Requirement(s) is the
requirement(s) the auditor was testing which generated the audit
finding.
Note: Letters from Part 3 of the Compliance Supplement
include A-N, excluding D and K. All Types of Compliance
Requirements are defined below:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.

(h)

Activities allowed or unallowed
Allowable costs/cost principles
Cash management
Reserved
Eligibility
Equipment and real property management
Matching, level of effort, earmarking
Period of performance (or availability) of Federal funds
Procurement and suspension and debarment
Program income
Reserved
Reporting
Subrecipient monitoring
Special tests and provisions
Other

(i)

(j)

Internal Control Audit
Findings

(k)
Other
Audit

Modified

Other

Material

Significant

Opinion

Matters

Weakness

Deficiency

Y/N

Findings

(l) Questioned Costs - Mark either “Y” for Yes or “N” for No to
indicate whether there were any Questioned Costs related to the
audit finding. If questioned costs exist but the amount cannot be
determined, mark “Y”.
Repeat Audit Finding
(m) Repeat Audit Finding from Prior Year - Mark either “Y” for
Yes or “N” for No to indicate whether the audit finding is a repeat
of an audit finding from the immediate prior audit.

Type of Audit Finding
Part III, Items 4(g)-(k) are used to capture the type of finding.

(n) If Repeat Finding, provide Prior Year Audit Finding
Reference Number(s) - If “Y” was marked for repeat finding,
enter all applicable audit finding reference numbers from the
immediate prior audit (2 CFR 200.516(b)(8) and (c)) for repeat
findings.

Compliance Audit Findings - For respondents performing
the SLFRF Alternative Compliance Examination
Engagement, information in this section will be based on
information identified in the practitioner's examination report
and any related Schedule of Findings and Responses.

Item 5 - Text of the Audit Findings
For those filing a Single Audit, the information to complete this
item is obtained from the Schedule of Findings and Questioned
Costs prepared by the auditor and directly corresponds to the
audit finding reference numbers entered in Part III, Item 4(e).
Practitioners performing the SLFRF Alternative Compliance
Examination Engagement will complete this item based on
information in the examination report and Schedule of Findings
and Responses, if applicable.

(g) Modified Opinion - Mark either “Y” for Yes or “N” for No to
indicate whether the auditor identified the audit finding in the
Report on Compliance for Each Major Federal Program as the
basis for a Modified Opinion.
(h) Other Matters - Mark either “Y” for Yes or “N” for No to
indicate whether the auditor identified the audit finding in the
Report on Compliance for Each Major Federal Program as a
compliance audit finding in the Other Matters section of the
report.

If a finding relates to more than one program, the text of the audit
finding must only be entered once by audit finding reference
number.

Internal Control Audit Findings

Note: If the auditee qualified as an Indian Tribe or Tribal
Organization (as defined in the Indian Self-Determination,
Education and Assistance Act (ISDEAA), 25 U.S.C 5304) and
opts not to authorize the FAC to make the reporting package
publicly available, the information in Part III, Item 5 will not be
publicly displayed on the Form SF-SAC. Instead, the text
“Exemption for Indian Tribes” will be displayed in Part III, Item
5(b) for each audit finding reference number.

(i) Material Weakness - Mark either “Y” for Yes or “N” for No to
indicate whether the auditor identified the audit finding in the
Report on Internal Control over Compliance as a Material
Weakness.
(j) Significant Deficiency - Mark either “Y” for Yes or “N” for No
to indicate whether the auditor identified the audit finding in the
Report on Internal Control over Compliance as a Significant
Deficiency.

Note: Due to formatting restrictions in the FAC database, the
text input in this item may not convey the full meaning of the
audit finding. Users should refer to the reporting package to
view the text as it was intended.

(k) Other Audit Findings - Mark “Y” for Yes if “N” is marked in
all four columns (g), (h), (i), and (j). Mark “N” for No if “Y” is
marked in any of the columns (g), (h), (i), or (j).

(a) Audit Finding Reference Number - Each unique audit
finding reference number entered in Part III, Item 4(e) for all audit
findings entered will be auto-generated in Part III, Item 5(a).

The following chart shows the nine different possible
combinations of findings for columns (g) through (k).

(b) Audit Finding Text - Enter the full, detailed text, including
any header information (such as title, Federal program name,

PART V: CERTIFICATIONS
If the auditee qualified as an Indian Tribe or Tribal Organization
(as defined in the Indian Self-Determination, Education and
Assistance Act (ISDEAA), 25 U.S.C 5304) and opts not to
authorize the FAC to make the reporting package publicly
available, use Part V, Item 1 - Auditee Certification Statement
(Indian Tribe).

and award identification information) and the auditee’s
response(s) (as required by GAGAS), of the audit finding exactly
as it appears in the Schedule of Findings and Questioned Costs,
excluding charts, tables, or footnotes. You may copy and paste
this text directly from the reporting package.
Note: If there are any charts or tables within the text, enter
“See Schedule of Findings and Questioned Costs for
chart/table” in place of the chart or table within the text. The
rest of the text is required to be entered. Do not enter “See
reporting package” in lieu of the text of the audit finding. If
there are any footnotes within the text, enter “See Schedule of
Findings and Questioned Costs for footnote” at the end of the
finding text in place of any footnotes.

Note: A senior representative of the auditee includes state
controller, director of finance, chief executive officer, chief
financial officer, etc.
Item 1 - Auditee Certification Statement
A senior representative of the auditee electronically “signs” the
certification statement below as required by 2 CFR 200.512(b)(1).
All check boxes must be marked to complete certification.

Note: If the text of the finding is presented in a summarized
format with a reference to a related finding (e.g., see 2 CFR
200.515(d)(3)(ii)), enter the text of the summarized finding as it
appears in the Schedule of Findings and Questioned Costs.

I certify that, to the best of my knowledge and belief, the
auditee has:
ensured that the Form SF-SAC data and reporting package
do not include protected personally identifiable information
(Protected PII)1, or if they do, the Federal Audit
Clearinghouse (FAC) is authorized to publicly post all
information contained in the Form SF-SAC data and the
reporting package;

PART IV: CORRECTIVE ACTION PLAN
This section is completed by the auditee.
The information to complete this part is obtained from the
Corrective Action Plan prepared by the auditee and directly
corresponds to the audit finding reference numbers entered in
Part III, Item 4(e).

ensured that the Form SF-SAC data and reporting package
do not include business identifiable information (BII)2, or if
they do, the FAC is authorized to publicly post all
information contained in the Form SF-SAC data and the
reporting package;

If a finding relates to more than one program, the text of the
corrective action plan must only be entered once by audit finding
reference number.

complied with the requirements of 2 CFR Part 200 Subpart F
specific to the auditee;

Note: If the auditee qualified as an Indian Tribe or Tribal
Organization (as defined in the Indian Self-Determination,
Education and Assistance Act (ISDEAA), 25 U.S.C 5304) and
opts not to authorize the FAC to make the reporting package
publicly available, the information in Part IV will not be publicly
displayed on the Form SF-SAC. Instead, the text “Exemption
for Indian Tribes” will be displayed in Part IV, Item 2 for each
audit finding reference number.

prepared the data in this Form SF-SAC in accordance with
2 CFR Part 200 Subpart F and the accompanying
instructions to this Form SF-SAC;
included all information required to be reported in this Form
SF-SAC in its entirety and such information is accurate and
complete;

Note: Due to formatting restrictions in the FAC database, the
text input in this item may not convey the full meaning of the
CAP. Users should refer to the reporting package to view the
text as it was intended.

engaged an auditor to perform an audit in accordance with
2 CFR Part 200 Subpart F for the period described in Part I,
Items 1 and 3;

Item 1 - Audit Finding Reference Number - Each unique audit
finding reference number entered in Part III, Item 4(e) for all audit
findings entered will be auto-generated in Part IV, Item 1.

Item 2 - Text of the Corrective Action Plan - Enter the full,
detailed text, including any header information (such as name of
contact person responsible for corrective action and anticipated
completion date), of the corrective action plan exactly as it
appears in the Corrective Action Plan, excluding charts, tables, or
footnotes. You may copy and paste this text directly from the
reporting package.

authorized the FAC to make the Form SF-SAC data and
reporting package publicly available on a website.
12

CFR 200.79 and 2 CFR 200.82
consists of information defined in the Freedom of
Information Act (FOIA) as “trade secrets and commercial or
financial information obtained from a person [that is] privileged
or confidential” (5 U.S.C.552(b)(4)). This information is exempt
from automatic release under the (b)(4) FOIA exemption.
“Commercial” is not confined to records that reveal “basic
commercial operations” but includes any records or information
in which the submitter has a commercial interest, and can
include information submitted by a nonprofit entity.
2 BII

Note: If there are any charts or tables within the text, enter “See
Corrective Action Plan for chart/table” in place of the chart or
table within the text. The rest of the text is required to be entered.
Do not enter “See reporting package” in lieu of the text of the
corrective action plan. If there are any footnotes within the text,
enter "See Corrective Action Plan for footnote" at the end of the
Corrective Action Plan text in place of any footnotes.

Item 2 - Auditor Statement
The auditor must electronically “sign” the statement below as
required by 2 CFR 200.512(b)(3). All check boxes must be
marked to complete “signature”.

Item 1 - Auditee Certification Statement (Indian Tribe)
A senior representative of the Indian Tribe or Tribal Organization
electronically “signs” the certification statement below as required
by 2 CFR 200.512(b)(1) and (2). All check boxes must be marked
to complete certification.

I acknowledge that:

I certify that, to the best of my knowledge and belief, the
auditee has:

the data elements and information included in this Form SFSAC are limited to those prescribed by the Office of
Management and Budget;

qualified as an Indian Tribe or Tribal Organization1 and opts
not to authorize the Federal Audit Clearinghouse (FAC) to
make the reporting package publicly available2;

the information in Part II of this Form SF-SAC is the
responsibility of the auditee and is based on information
included in the reporting package required by the Uniform
Guidance;

ensured that the Form SF-SAC data and reporting package
do not include protected personally identifiable information
(Protected PII)3, or if they do, the FAC is authorized to
publicly post all information contained in the Form SF-SAC
data, except the texts entered in Part II, Item 2, Part III,
Item 5(b) and Part IV, Item 2;

the information included in Part III of this Form SF-SAC,
except for Item 3(d) and Items 4(a)-(d) (when there are
audit findings), was transferred by the auditor from the
auditor's report(s) for the period described in Part I, Items 1
and 3, and is not a substitute for such reports;

ensured that the Form SF-SAC data and reporting package
do not include business identifiable information (BII)4, or if
they do, the FAC is authorized to publicly post all
information contained in the Form SF-SAC data, except the
texts entered in Part II, Item 2, Part III, Item 5(b) and Part
IV, Item 2;

the auditor has not performed any auditing procedures
since the date of the auditor's report(s) or any additional
auditing procedures in connection with the completion of
this Form SF-SAC; and
a copy of the reporting package required by the Uniform
Guidance, which includes the complete auditor’s report(s),
may be made available by the Federal Audit Clearinghouse
(FAC) on the FAC website or from the auditee at the
address listed in Part I of this Form SF-SAC.

complied with the requirements of 2 CFR Part 200 Subpart F
specific to the auditee;
prepared the data in this Form SF-SAC in accordance with
2 CFR Part 200 Subpart F and the accompanying
instructions to this Form SF-SAC;
included all information required to be reported in this Form
SF-SAC in its entirety and such information is accurate and
complete;
engaged an auditor to perform an audit in accordance with
2 CFR Part 200 Subpart F for the period described in Part I,
Items 1 and 3;
ensured the auditor has completed such audit and issued
the signed audit report required by 2 CFR 200.515 which
states that the audit was conducted in accordance with the
audit requirements of the Uniform Guidance; and
authorized the FAC to make the Form SF-SAC data, except
the texts entered in Part II, Item 2, Part III, Item 5(b) and
Part IV, Item 2, publicly available on a website.
1 As defined in the Indian Self-Determination, Education and
Assistance Act (ISDEAA), 25 U.S.C 5304
2 Tribes selecting this option must submit the reporting
package to pass-through entities as described in 2 CFR
200.512(b)(2)
3 2 CFR 200.79 and 2 CFR 200.82
4 BII consists of information defined in the Freedom of
Information Act (FOIA) as “trade secrets and commercial or
financial information obtained from a person [that is] privileged
or confidential” (5 U.S.C.552(b)(4)). This information is exempt
from automatic release under the (b)(4) FOIA exemption.
“Commercial” is not confined to records that reveal “basic
commercial operations” but includes any records or information
in which the submitter has a commercial interest, and can
include information submitted by a nonprofit entity.

APPENDIX I-A
Federal Audit Clearinghouse Federal Agency Two-Digit Prefix List
(Alphabetic Order)
01*

African Development Foundation

61*

International Trade Commission

U. S. Agency for International Development

Japan - U.S. Friendship Commission

Department of Agriculture

Department of Justice

Appalachian Regional Commission

Department of Labor

Architectural & Transportation Barriers

09*

Legal Services Corporation

Compliance Board

Library of Congress

Central Intelligence Agency

99*

Miscellaneous

Department of Commerce

National Aeronautics & Space Administration

Commission on Civil Rights

National Archives & Records Administration

Commodity Futures Trading Commission

National Council on Disability

Consumer Product Safety Commission

National Credit Union Administration

Corporation for National and Community Service

National Foundation on the Arts and the

Department of Defense

Delta Regional Authority

National Gallery of Art

Denali Commission

National Labor Relations Board

Department of Education

National Science Foundation

Election Assistance Commission

Nuclear Regulatory Commission

Department of Energy

07*

Office of National Drug Control Policy

Environmental Protection Agency

Office of Personnel Management

Equal Employment Opportunity Commission

Overseas Private Investment Corporation

Federal Communications Commission

08*

Peace Corps

Federal Maritime Commission

Pension Benefit Guaranty Corporation

Federal Mediation and Conciliation Service

Railroad Retirement Board

Federal Reserve System

Scholarship Foundations

Federal Trade Commission

Securities and Exchange Commission

General Services Administration

Small Business Administration

Government Printing Office

Smithsonian Institution

Department of Health and Human Services

Social Security Administration

Department of Homeland Security

Department of State

Department of Housing and Urban Development

Tennessee Valley Authority

United States Institute of Peace

Department of Transportation

04*

Inter-American Foundation

Department of the Treasury

Department of the Interior

Department of Veterans Affairs

Humanities

* Note: These prefixes are not assigned by the Catalog of Federal Domestic Assistance, and are
only used for OMB Uniform Guidance reporting purposes only.

APPENDIX I-B
Federal Audit Clearinghouse Federal Agency Two-Digit Prefix
List (Numeric Order)
01*

African Development Foundation

National Science Foundation

04*

Inter-American Foundation

Railroad Retirement Board

07*

Office of National Drug Control Policy

Securities and Exchange Commission

08*

Peace Corps

Small Business Administration

09*

Legal Services Corporation

Smithsonian Institution

Department of Agriculture

61*

International Trade Commission

Department of Commerce

Tennessee Valley Authority

Department of Defense

Department of Veterans Affairs

Central Intelligence Agency

Environmental Protection Agency

Department of Housing and Urban Development

National Gallery of Art

Department of the Interior

Overseas Private Investment Corporation

Department of Justice

Nuclear Regulatory Commission

Department of Labor

Commodity Futures Trading Commission

Federal Reserve System

Department of Energy

Department of State

Department of Education

Department of Transportation

Scholarship Foundations

Department of the Treasury

Pension Benefit Guaranty Corporation

Appalachian Regional Commission

Consumer Product Safety Commission

Office of Personnel Management

Architectural & Transportation Barriers

Commission on Civil Rights

Equal Employment Opportunity Commission

National Archives & Records Administration

Federal Communications Commission

Delta Regional Authority

Federal Maritime Commission

Denali Commission

Federal Mediation and Conciliation Service

Election Assistance Commission

Federal Trade Commission

Japan - U.S. Friendship Commission

General Services Administration

United States Institute of Peace

Government Printing Office

National Council on Disability

Library of Congress

Department of Health and Human Services

National Aeronautics & Space Administration

Corporation for National and Community Service

National Credit Union Administration

Social Security Administration

National Foundation on the Arts and the

Department of Homeland Security

Humanities

U. S. Agency for International Development

National Labor Relations Board

99*

Miscellaneous

Compliance Board

* Note: These prefixes are not assigned by the Catalog of Federal Domestic Assistance,
and are only used for OMB Uniform Guidance reporting purposes only.

File Type	application/pdf
Author	Hannah Marie Puisto (CENSUS/GOVS FED)
File Modified	2022-08-25
File Created	2021-09-02