ETA 9221 Construction and Rehab Report (CRA)

Standard Job Corps Contractor Information Gathering

ETA 9221 Construction and Rehab Report_CRA.xlsx

OMB: 1205-0219

Document [xlsx]
Download: xlsx | pdf

Overview

CRA STATUS REPORT
INSTRUCTIONS (CRA)
ERF STATUS REPORT
INSTRUCTIONS (ERF)
B1 CRA ETA 2110 RECONCILIATION
INSTRUCTIONS (RECON)
Fund Codes


Sheet 1: CRA STATUS REPORT


















(1) CENTER NAME Hilltop Job Corps Center (2) FOR QUARTER ENDING
09/30/14 (3) CY END
12/31/14


































(4) CENTER NUMBER 00101 (5) CONTRACT NUMBER
DOLJ1300017 (6) CENTER OPERATOR
ABC Corportation


































(7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21)




Contract Modification





Project Dates


Deficiency ID# or FOP# Project Description and Location FUND CODE Fund Expiration Number Date Amount Funded Amount Expensed Undelivered Commitments Cost to Complete Estimated Project Cost Total Cost Balance Start End Percent Complete Remarks Approved Complete RO/ESC



-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-







-





$- $-




Add rows if necessary - Right Click - Insert Row Above.


-





$- $-




TOTAL $- $- $- $- $- $-

















































































































































































































































































































































































































































































































Sheet 2: INSTRUCTIONS (CRA)

LINE TITLE DESCRIPTION
1 CENTER NAME Enter the full name of the center.
2 FOR QUARTER ENDING Enter the last day of the calendar quarter for which the report is being submitted i.e. 3/31, 6/30, 9/30, 12/31.
3 CY END Enter the current contract year end date.
4 CENTER NUMBER Enter the full center number
5 CONTRACT NUMBER Enter the full contract number
6 CENTER OPERATOR Enter the Center’s ID number. Each Job Corps Center is assigned a unique DOL identification number. This number is listed on the top right hand corner of the cover page on the facility survey. It is also listed on the monthly Design and Construction Status Reports
7 DEFICIENCY ID# OR FOP # Enter the CRA Deficiency ID # if available. If it is not available. Enter the FOP# in which the amounts were funded. Once the Deficiency ID is known, update the report.
8 PROJECT DESCRIPTION AND LOCATION Enter a complete description of the project including building number.
9 FUND CODE Enter or select the Fund Code (part of the appropriation string) from the Contract Modification. The Fund Code is located in Block 12 of the Contract Modification and is usually the four digits in positions 7-10. It is the same number recorded in Funded Not Corrected when funds are received.
10 FUND EXPIRATION Automatic - Calculates the Expiration Date of the funds based on the fund code.
11 CONTRACT MODIFICATION # AND DATE Enter the contract modification number and date of the mod approval by the Contracting Officer.
12 AMOUNT FUNDED Enter the amount funded for each project. If funding is deobligated the expiration of a contract year, the funded amount will be reduced and remarks should be included.
13 AMOUNT EXPENSED Enter the amount Expensed. The amount expensed must equal the sum of vouchered reimbursable, unvouchered reimbursable, and unvouchered accounts payable listed on the ETA 2110.
14 UNDELIVERED COMMITMENTS Enter the total amount undelivered commitments (open purchase orders). This should also reconcile with the ETA 2110
15 COST TO COMPLETE Enter the amount of funding needed to complete the project. This amount is the anticipated costs that have not been paid or otherwise commited to the project. For instance, if funds were just received, the entire amount should be listed in "Cost to Complete."
16 ESTIMATED PROJECT TOTAL COST Automatic - This column automatically calculates the sum of columns 12 through 15 to determine the total costs of the project.
17 BALANCE Automatic - This column automatically calculates the difference between the Amount Funded (12) and the Estimated Project Total Cost (16).
18 PROJECT START AND END DATES Enter the subcontract award or start date and anticipated completion date or completion date.
19 PERCENT COMPLETE Enter the percentage of work in place (actual work completed). Do not enter the percentage of funds obligated to date.
20 REMARKS Enter the description of the status of the project and any pertinent data related to the project.
21 APPROVED COMPLETED RO/ESC When the project is complete the center should notify the region and the engineering support contractor (ESC) (PBDewberry) to schedule inspection. Enter the initials of the ESC or RO project manager who confirmed completion.


























Sheet 3: ERF STATUS REPORT


















(1) CENTER NAME Hilltop Job Corps Center (2) FOR QUARTER ENDING
09/30/14 (3) CY END DATE
12/31/14


































(4) CENTER NUMBER 00101 (5) CONTRACT NUMBER
DOLJ1300017 (6) CENTER OPERATOR
ABC Corportation


































(7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)




Modification or Approval
Amount Expensed Undelivered Commitments Cost to Complete Estimated Project Costs Project Dates Percent Complete Remarks Approved Complete RO/ESC
Deficiency ID# or FOP# Project Description and Location FUND CODE Fund Expiration Number Date Amount Funded Start End

INITIAL FUNDING
-



REPLENISHMENT
-





-





-





-





-





-


TOTAL $-




RD Approval Date












LEAVE BLANK
LEAVE BLANK


$-










$-










$-









$-










$-










$-










$-










$-










$-










$-










$-










$-










$-










$-










$-










$-










$-










$-










$-




TOTALS $- $- $- $- FUND BALANCE $0


































Sheet 4: INSTRUCTIONS (ERF)

LINE TITLE DESCRIPTION














1 CENTER NAME Enter the full name of the center.














2 FOR QUARTER ENDING OR REPORT DATE Enter the report date or if a quarterly report, enter the last day of the calendar quarter for which the report is being submitted i.e. 3/31, 6/30, 9/30, 12/31.














3 CY END Enter the current contract year end date.














4 CENTER NUMBER Enter the full contract number














5 CONTRACT NUMBER Enter the full contract number














6 CENTER OPERATOR Enter the Center’s ID number. Each Job Corps Center is assigned a unique DOL identification number. This number is listed on the top right hand corner of the cover page on the facility survey. It is also listed on the monthly Design and Construction Status Reports














7 DEFICIENCY ID# OR FOP # Enter the CRA Deficiency ID # if available. If it is not available. Enter the FOP# in which the amounts were funded. Once the Deficiency ID is known, update the report.














8 PROJECT DESCRIPTION AND LOCATION Enter the funding provided or deobligated in the top portion. Enter a complete description of the project including building number in the bottom portion.

9 FUND CODE Enter or select the Fund Code (part of the appropriation string) from the Contract Modification. The Fund Code is located in Block 12 of the Contract Modification and is usually the four digits in positions 7-10. It is the same number recorded in Funded Not Corrected when funds are received.
10 FUND EXPIRATION Automatic - Calculates the Expiration Date of the funds based on the fund code.
11 CONTRACT MODIFICATION # AND DATE Enter the contract modification number and date of the mod approval by the Contracting Officer.
12 AMOUNT FUNDED Enter the amount funded for each project. If funding is deobligated the expiration of a contract year, the funded amount will be reduced and remarks should be included.
13 AMOUNT EXPENSED Enter the amount Expensed. The amount expensed must equal the sum of vouchered reimbursable, unvouchered reimbursable, and unvouchered accounts payable listed on the ETA 2110.
14 UNDELIVERED COMMITMENTS Enter the total amount undelivered commitments (open purchase orders). This should also reconcile with the ETA 2110
15 COST TO COMPLETE Enter the amount of funding needed to complete the project. This amount is the anticipated costs that have not been paid or otherwise commited to the project. For instance, if funds were just received, the entire amount should be listed in "Cost to Complete."
16 ESTIMATED PROJECT TOTAL COST Automatic - This column automatically calculates the sum of columns 12 through 15 to determine the total costs of the project.
17 PROJECT START AND END DATES Enter the subcontract award or start date and anticipated completion date or completion date.
18 PERCENT COMPLETE Enter the percentage of work in place (actual work completed). Do not enter the percentage of funds obligated to date.
19 REMARKS Enter the description of the status of the project and any pertinent data related to the project.
20 APPROVED COMPLETED RO/ESC When the project is complete the center should notify the region and the engineering support contractor (ESC) (PBDewberry) to schedule inspection. Enter the initials of the ESC or RO project manager who confirmed completion.















Sheet 5: B1 CRA ETA 2110 RECONCILIATION










(1) CENTER NAME Hilltop Job Corps Center (5) CONTRACT NUMBER
DOLJ1300017









(2) FOR QUARTER ENDING 09/30/14 (6) CENTER OPERATOR
ABC Corportation









(3) CY END 12/31/14 (7) ETA 2110 DATE
09/30/14









(5) CENTER NUMBER 00101






















(8) (9) (10) (11) (12) (13) (14)





Balance
Category Amount Funded Amount Expensed Undelivered Commitments Cost to Complete Estimated Project Cost
CRA FUNDS $0 $0 $0 $0 $0 $0
EMERGENCY FUNDS $0 $0 $0 $0 $0 $0
TOTAL B1 FUNDS $0 $0 $0 $0 $0 $0









(15) (16) (17) (18) (19) (20) (21)
ETA 2110, Page 4, Section E. Conractor Obligations




Balance
Contract Funding Vouchered Reimbursable Unvouchered Reimbursable Undelivered Commitements Total Obligations


Row E.2. Column (f) Row E.2. Column (a) Row E.2. Column (b) Row E.2. Column (d) Row E.2. Column (e)

CONSTRUCTION/FACILITY REHAB $213,200 $150,000 $34,250 $12,000 $196,250 $16,950


















Less: COST TO COMPLETE (22) $0









BALANCE (23) $16,950









BALANCE CHECK (24) NO









































































Sheet 6: INSTRUCTIONS (RECON)

LINE TITLE DESCRIPTION
1 CENTER NAME Enter the full name of the center.
2 FOR QUARTER ENDING OR REPORT DATE Enter the report date or if a quarterly report, enter the last day of the calendar quarter for which the report is being submitted i.e. 3/31, 6/30, 9/30, 12/31.
3 CY END Enter the current contract year end date.
4 CENTER NUMBER Enter the full contract number
5 CONTRACT NUMBER Enter the full contract number
6 CENTER OPERATOR Enter the Center’s ID number. Each Job Corps Center is assigned a unique DOL identification number. This number is listed on the top right hand corner of the cover page on the facility survey. It is also listed on the monthly Design and Construction Status Reports
7 ETA 2110 DATE Enter the data of the ETA 2110 month end report used for the reconciliation.
8 CATEGORY Automatic - Describes the funding type for all B1 funds. No entry required.
9 AMOUNT FUNDED Automatic - Pulls the funding data from the Quarterly CRA Status Report and the Emergency Funding Request Report.
10 AMOUNT EXPENSED Automatic - The amount expensed is pulled from the Quarterly CRA Status Report and the Emergency Funding Request Report.
11 UNDELIVERED COMMITMENTS Automatic - The undelivered commitments are pulled from the Quarterly CRA Status Report and the Emergency Funding Request Report.
12` COST TO COMPLETE Automatic - The cost to complete figures are pulled from the Quarterly CRA Status Report and the Emergency Funding Request Report.
13 ESTIMATED PROJECT TOTAL COST Automatic - This column automatically calculates the sum from the Quarterly CRA Status Report and the Emergency Funding Request Report.
14 BALANCE Automatic - This column automatically calculates balance of funds available that are not expensed, committed or otherwise reserved for approved projects.
15 - 20 ETA 2110 CONTRACTOR OBLIGATIONS Enter the applicable information in columns 16 thorugh 20 from the ETA 2110 report. The column headings show where to pull the data from the report.
21 BALANCE Automatic - Calculates the difference between expenses (vouchered, unvouchered, and commitments) versus funding levels. This block does not consider "cost to complete."
22 LESS: COST TO COMPLETE Automatic - Adjustment to capture cost to complete of CRA and Emergency Funded Projects
23 BALANCE Automatic - Calculates the difference between the ETA 2110 (21) less the cost to complete (22).
24 BALANCE CHECK Automatic - "Yes" if in balance, "No" if out of balance.





Sheet 7: Fund Codes

Code Expiration







1316 6/30/2016







1417 6/30/2017







1518 6/30/2018







1619 6/30/2019







1720 6/30/2020







1821 6/30/2021







1922 6/30/2022







2023 6/30/2023







2124 6/30/2024







2225 6/30/2025







2326 6/30/2026







2427 6/30/2027







2528 6/30/2028







2629 6/30/2029







2730 6/30/2030







2831 6/30/2031







2932 6/30/2032







3033 6/30/2033











































































































































































































































































File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2025 OMB.report | Privacy Policy