CRCP Annual Non-Federal Expenditures Report

OMC Control Number 0648-0448 Expiration Date: XX/XX/20XX

NOAA CORAL REEF CONSERVATION PROGRAM
ANNUAL NON-FEDERAL EXPENDITURES REPORT
Coral Reef Management and Restoration
State Expenditures
Page

Revised
1.State Agency and/or Department
Submitting Form

2. Federal or State Agency
to Receive Form

3. Block Grant Award No.

of Pages
5. Fiscal Year
End Date

4. Fiscal Year Reported

Non-Federal Expenditures
(1)
Program, Project, Task,
or Expense Title

(2)
Expenditure Description

(3)
(4)
State Agency Tie to Relevant
and/or
Management
Department
Plan(s)

(5)
Funding
Source

(7) Subtotal

(6)
Non-Federal
Funds
Expended

$0

(8) TOTAL

I, _______________________________________, certify on behalf of __________________________________________, that
the values provided above are correct to the extent of my knowledge.

_________________________________

___________________

Signature

Date

Line Item Instructions for the Annual Non-Federal Expenditure Report
Item

Data Elements
1. State Agency and/or Department
Submitting Form

2. Federal or State Agency to Receive
Form

Instructions
Enter the name of the State agency and/or department (division) submitting the
form. Depending on the number of expenditures, the State may collect these
forms at whichever level is most appropriate and does not need multiple
departments or divisions within an agency to coordinate a single submission.
If this is the final, aggregated submission to NOAA CRCP, then the State agency
and department receiving the block grant must be entered.
Enter the name of the State agency that requested the expenditures report. If this
is the final, aggregated submission to NOAA, then enter “NOAA CRCP”

3. Block Grant Award No.

Enter the most recent block grant award number assigned by NOAA. If this is a
submission to another State agency, this may be left blank or pre-populated by
the requesting State agency.

4. Fiscal Year

Enter the State’s fiscal year for which the expenditures are reported.

5. Fiscal Year End Date

Enter the end date of the fiscal year (i.e., reporting period).

Non-Federal Expenditures
(1) Program, Project, Task, or Expense
Title

Enter the title of the expenditure. This may vary between a program, project, task,
or discrete expense.

(2) Expenditure Description

Describe the expenditure, including activities performed (or to be performed),
associated with expenditures being reported.

(3) State Agency and/or Department

Identify the State agency and/or department which expended the funds. This may
be the same agency completing the form or another State agency, if a project
partner, but must not be a non-government entity.
Identify the relevant local or national management plan that ties the expenditure to
coral reef conservation and/or restoration. This may be the National Coral Reef
Resilience Strategy, coral reef action plan, coral restoration plan, a watershed
management plan, local action strategy, marine protected area management plan,
etc., as long as it is publicly available and adherence can be verified.

(4) Tie to Relevant Management Plan(s)

Any referenced plan or strategy must be hyperlinked and relevant section(s) or
page number(s) is identified for verification.
(5) Funding Source

All expenditures must originate from the State and be auditable. Most funds are
expected to originate from the State legislature, however, some non-Federal funds
received by the State through fees, assessments, fines, judgements, etc., are
allowable so long as the State has control over the funds and some discretion of
use at some point in time.
Private donations or grant awards, or mitigation funds not directly controlled by the
State (e.g., nonprofit, trust, etc.) are not eligible even if the State has some
management or other decision-making authority.

(7) Subtotal

Federal funds are never allowable even if they pass through a State agency or
another entity first, however, State expenditures counted as non-Federal matching
funds for a Federal grant award may be included.
Enter the total non-Federal funds expended for the listed program, project, task, or
expense. These may be rounded, if preferred, to the nearest $10,000 for
expenditures in excess of $100,000.
The total non-Federal funds expended for this page only.

(8) Total

The cumulative total of all preceding pages if submitting more than one page.

(6) Non-Federal Funds Expended

Public Burden Statement
The public reporting burden for this information collection is estimated to be between 5-12 hours per response. This burden estimate
includes time for reading the instructions, reviewing the questions, and completing the survey instrument. Send comments regarding the
accuracy of this burden estimate and any suggestions for reducing the burden to: [email protected]. You are not required to respond
to this collection of information unless a valid OMB control number is displayed.