CITY OF CHINO
GRANT INFORMATION FORM
Fiscal Year of Grant ____________________
Date City Council Approved
C
ity of Chino Grant # __________________
City Department: City Staff Administrator:
U.S. Dept. Agency: Federal CFDA #
Pass-through Agency: _____ Pass-through No. ________ Grant Program Title: _
Funding Period: Extended Through:
Reporting Requirements:
(Example: Report to pass-through agency quarterly.)
Type of Grant (): Method of Funding ():
F ederal A dvance Reimbursement
S tate Frequency of Funding ( ): At Completion
C ounty Monthly Quarterly Annually O ther Type:
Total Amount from Granting Agency: $ City Matching Funds: $ City Expenditure Account Number:
City Revenue Account Number:
Does the funding agency require a compliance audit? Yes No I f yes, what kind of report? Single Audit Compliance Does the funding agency require a copy of the Single Audit report? Yes No Will any grant funds be carried over to other fiscal years? Yes No If y es, which years?
Is allocated interest a grant requirement? Yes No City Program and/or Purpose of Grant: