Surveypoint

Q01

District Name

Q02

District Code

Q03

Block Name

Q04

Block Code

Q05

Name of the CLF

A01

Name of the respondent

A02

Interviewer name

A03

Interviewer code

A04

Date of the interview

A05

Result of the interview

Interview complete

Visit rescheduled

Interview incomplete

Refused

Respondent is out of station for extended period

Respondent is temporarily away

Other (specify)

B01

What is the date of formation of this CLF?

B02

Is this (building/location) office owned by the CLF?

Yes

No

B03

Is this CLF registered under Society Registration Act 1860?

Yes

No

B04

What is the date of registration of this CLF?

B05

What is the registration number of this CLF?

B06

How many VOs are there in this CLF?

B07

In the last one year, has the accounts of this CLF been audited by an external agency (chartered accountant)

Yes

No

B08

Is the Audit report submitted to CLF?

Yes

No

B09

Is the audit report written in Hindi?

Yes

No

B10

Is the Audit report explained to CLF EC members?

Yes

No

B11

Has the CLF received PAN No.?

Yes

No

B12

If PAN is not issued earlier, did the CLF apply for PAN?

Yes

No

B13

Does this CLF file their annual ITR?

Yes

No

C01

How long have you been working as IPRP?

C02

What is the highest standard of education you have passed?

<Class X

Class X

Class XII

Graduation

post-Graduation

Others [specify]

C03

Did you work as any cadre previously before selection as IPRP?

Yes

No

C04

What was the cadre position/ role you were working in previously?

C05

Can you tell us about your roles and responsibilities in CLF?

C05_1

To create an environment for CRP drive in all the villages falling under the cluster and to provide support to the community-based institutions formed in the village after the drive.

Yes

No

C05_2

Group Formation and Activation of Inactive Groups The work related to health and nutrition is to provide training and capacity building of the office bearers of self-help groups, village organizations and cluster level associations

Yes

No

C05_3

To provide support to the community cadre in micro credit scheme (MCP), revolving fund grading audit, etc.

Yes

No

C05_4

Opening of accounts of groups and getting their bank linkages done in due course

Yes

No

C05_5

Ensure that monthly reports of groups, village organizations and cluster level associations are filled

Yes

No

C05_6

Ensure loan repayment to self-help groups, village organizations and cluster level associations

Yes

No

C05_7

Internal auditing as per rules of village composition and cluster level association

Yes

No

C05_8

To carry out all the tasks given by the cluster level association in a timely manner.

Yes

No

C05_9

To participate in the meeting of all the gram sanghatanas of your cluster after the formation of the gram sanghatana

Yes

No

C05_10

To participate in the meeting of each cluster level association after the formation of the cluster association

Yes

No

C05_11

To assist the package association accountant in writing the Books of Records

Yes

No

C06

Do you submit your work done report/MPR every month to your CLF?

Yes

No

C07

How do you submit your work done report/MPR?

Through Mobile Application

Hard Copy

Both

Other

C08

Do you have any mobile applications for the submission of MPR?

Yes

No

C09

If through mobile application, can you tell the name of mobile app?

D01

Was the vision building training organized for CLF?

Yes

No

D02

Who organized the vision building training for the CLF?

IPRP herself

DRP

SRP

NRP

others (specify)

D03

Has the vision document been developed by the CLF members?

Yes

No

D04

Are you aware of the rotation of the OB to give opportunity to other EC members?

Yes

No

D05

If yes, in your knowledge whether leadership Rotation has happened in last 1 year

Yes

No

D06

Since the formation of this CLF, how many times have the leadership position has been rotated?

D07

What is the norm for conducting EC meeting of this CLF?

Fortnightly

Monthly

Quarterly

Other (specify)

D08

How many EC meetings were held in the last three months?

D09

Does the CLF has its own bylaws?

Yes

No

D10

Does the CLF have the following committees?

D10_1

Social Action Sub Committee

Yes

No

D10_2

Bank linkage Subcommittee

Yes

No

D10_3

Livelihoods Promotion Subcommittee

Yes

No

D10_4

Procurement committee

Yes

No

D10_5

Monitoring Sub committee

Yes

No

D10A

Is the committee active?

D10A_1

Social Action Sub Committee

Yes

No

D10A_2

Bank linkage Subcommittee

Yes

No

D10A_3

Livelihoods Promotion Subcommittee

Yes

No

D10A_4

Procurement committee

Yes

No

D10A_5

Monitoring Sub committee

Yes

No

D10B

If yes, how many Committee meetings held in the last three months?

D10B_1

Social Action Sub Committee

D10B_2

Bank linkage Subcommittee

D10B_3

Livelihoods Promotion Subcommittee

D10B_4

Procurement committee

D10B_5

Monitoring Sub committee

D11

Were the following issues discussed during the last four EC meetings?

D11_1

Health and nutrition related issues – importance of balance diet / child and maternal health, health services in the village

Yes

No

D11_2

Sanitation related issues- importance of cleanliness, sanitation practices, availability of clean drinking water, construction of toilets etc.

Yes

No

D11_3

Education in the village- school enrolment, availability of the teaching staff etc.

Yes

No

D11_4

Involvement in Panchayati Raj Institutions – Participation in Gram Sabha (General)

Yes

No

D11_5

Active Participation in Government Schemes- by facilitating members to access Govt. Welfare/ Development Schemes/Programs (e.g., MGNREGS, PDS, etc.

Yes

No

D11_6

Discussion on Household Livelihoods (e.g., Livestock, Animal husbandry, farming etc.)

Yes

No

D11_7

Self-employment schemes

Yes

No

D11_8

Discussion around ways to prevent CORONA (COVID-19) infection, social distancing, handwashing, use of mask etc.

Yes

No

D12

What are the roles and responsibilities of your CLF on the Health and Nutrition issues?

Creating a cadre of CRP to train the SHGs on Health and Nutrition module

helping Vos in rolling out the Health and Nutrition module in the member SHGs

Monitoring the activities of Vos/ SHGs regarding Health and Nutrition issues

Helping Vos/ SHGs in taking action on the health and nutrition issues

Enagaging with ASHA/ANM/AWW for facilitating access to public health

Occassional visits to PHC to monitor the quality of health services provided

Approaching UPSRLM block level officials/ health providers to raise the supply side issues on Health and Nutrition

Maintaining MIS on beneficiaries

To establish Poshan Vatika/ Kitchen garden in community

Not applicable

Others (specify)

D13

What kind of support does CLF provide to ASHA/ANM/AWW?

CLF representatives work with AWW/ANM to mobilize women to participate in VHSND

CLF representatives monitor the service delivery of ASHA/ANM/AWW and provide regular feedback

Help in Covid 19 prevention and Covid Vaccination

Others (specify)

does not provide any support

E01

How often does the CLF review its plan and target achievement?

Monthly

Once in two months

No predetermined frequency

Never reviewed

Not Applicable

Others (specify)

E02

How often does the CLF review the activities of the member Vos?

Weekly

Fortnightly

Monthly

Once in two months

No predetermined frequency

Never reviewed

Others (specify)

E03

What VO activities are reviewed by the CLF EC members?

Books of records

Micro credit plan

Utilization of the CIF

Annual action plan

Implementation of Health and Nutrition module in SHG

Action taken on the key issues emerged during Health and Nutrition meetings

Implementation of training plan

Work on social security and gender related issues

Role of Village Organization in Panchayat and Village Development

Bank linkage and bank loan withdrawal

Others (specify)

E04

What kind of support does this CLF provide to the member Vos?

Capacity building trainings

Helping establish credit linkages with banks, MFIs etc.

Providing handholding support in maintenance of records

Providing support for rolling out Health and Nutrition module in the SHG

Providing information on flagship government schemes

Helping in establishing group-level livelihood activity

Facilitating market linkages

Others (specify)

E05

What kind of support does this CLF provide to the Vos for rolling out Health and Nutrition module? (Multiple response)

Providing training on Health and Nutrition module to cadre working with VO

Providing training and support for developing VO’s annual plan

Review of the VO on FNHW module and inputs

Support in establishment of linkage with Health scheme

Others (specify)

F01

Has the CLF undertaken any collective business activity where at least some members of this CLF jointly invest some money or time, and share surplus/ profits?

Yes

No

F02

What type of activity has the CLF taken up?

Collective Farming (including crops, vegetables, fruits, flowers)

Collective Animal Husbandry (including cattle, goatery, poultry, piggery)

Collective Non-Farm Activities (like textiles, handicrafts, petty business, fishing, etc

Service Provided to Village facilities (such as PDS outlet, aanganwadi, School, etc.)

Community Lunches, CRP drives, training, etc.)

Others (specify)

F03

Is the CLF involved in this activity currently?

Yes

No

F04

Does the CLF have a business plan developed?

Yes

No

F05

What income making activities are being planned in the business plan?

Collective Farming (including crops, vegetables, fruits, flowers)

Collective Animal Husbandry (including cattle, goatery, poultry, piggery)

Collective Non-Farm Activities (like textiles, handicrafts, petty business, fishing, etc

Service Provided to Village facilities (such as PDS outlet, aanganwadi, School, etc.)

Community Lunches, CRP drives, training, etc.)

Others (specify)

F06

Did the SHGs and VOs demand any amount for loan in the last 6 months?

Yes

No

F07

What was the amount demanded by SHGs and VOs in the last 6 months?

F08

How much loan has been disbursed to VOs or SHGs?

F09

How much the dispersed amount has been repaid by the VOs and SHGs?

F10

Have the SHGs of the CLF accessed a credit cash limit?

Yes

No

F11

Apart from bank loan or credit cash limit, has the CLF done any financial investment?

Yes

No

F12

How much idle cash does the CLF have at their disposal?

G01

Spontaneous

G01_1

Registration certificate of CLF for IPRP

G01_2

ITR file document of CLF for IPRP

G01_3

Bylaws documents of CLF for IPRP

G01_4

Annual Action Plan documents for IPRP

G01_5

Vision statement flex/ board / notice board for IPRP

G01_6

OBs / sub-committee details and display for IPRP

G01_7

VO Grading

G01_8

Cadres Grading for IPRP

G01_9

MPR availability of Cadres

G01_10

AGM (Annual General Meeting) documents for IPRP

G01_11

Leadership rotation documents for IPRP

G01_12

Bank loan statement/cash credit limit statement if any

G02

Probed

G02_1

Registration certificate of CLF for IPRP

Yes

No

G02_2

ITR file document of CLF for IPRP

Yes

No

G02_3

Bylaws documents of CLF for IPRP

Yes

No

G02_4

Annual Action Plan documents for IPRP

Yes

No

G02_5

Vision statement flex/ board / notice board for IPRP

Yes

No

G02_6

OBs / sub-committee details and display for IPRP

Yes

No

G02_7

VO Grading

Yes

No

G02_8

Cadres Grading for IPRP

Yes

No

G02_9

MPR availability of Cadres

Yes

No

G02_10

AGM (Annual General Meeting) documents for IPRP

Yes

No

G02_11

Leadership rotation documents for IPRP

Yes

No

G02_12

Bank loan statement/cash credit limit statement if any

Yes

No

G03

Whether the record is introduced in the CLF?

G03_1

Registration certificate of CLF for IPRP

Yes

No

G03_2

ITR file document of CLF for IPRP

Yes

No

G03_3

Bylaws documents of CLF for IPRP

Yes

No

G03_4

Annual Action Plan documents for IPRP

Yes

No

G03_5

Vision statement flex/ board / notice board for IPRP

Yes

No

G03_6

OBs / sub-committee details and display for IPRP

Yes

No

G03_7

VO Grading

Yes

No

G03_8

Cadres Grading for IPRP

Yes

No

G03_9

MPR availability of Cadres

Yes

No

G03_10

AGM (Annual General Meeting) documents for IPRP

Yes

No

G03_11

Leadership rotation documents for IPRP

Yes

No

G03_12

Bank loan statement/cash credit limit statement if any

Yes

No

G04

Please record date last updated

G04_1

Registration certificate of CLF for IPRP

G04_2

ITR file document of CLF for IPRP

G04_3

Bylaws documents of CLF for IPRP

G04_4

Annual Action Plan documents for IPRP

G04_5

Vision statement flex/ board / notice board for IPRP

G04_6

OBs / sub-committee details and display for IPRP

G04_7

VO Grading

G04_8

Cadres Grading for IPRP

G04_9

MPR availability of Cadres

G04_10

AGM (Annual General Meeting) documents for IPRP

G04_11

Leadership rotation documents for IPRP

G04_12

RAPID ASSESMENT Template -Form Fill

District Name

District Code

Block Name

Block Code

Name of the CLF

Name of the respondent

Interviewer name

Interviewer code

Date of the interview

Result of the interview

What is the date of formation of this CLF?

Is this (building/location) office owned by the CLF?

Is this CLF registered under Society Registration Act 1860?

What is the date of registration of this CLF?

What is the registration number of this CLF?

How many VOs are there in this CLF?

In the last one year, has the accounts of this CLF been audited by an external agency (chartered accountant)

Is the Audit report submitted to CLF?

Is the audit report written in Hindi?

Is the Audit report explained to CLF EC members?

Has the CLF received PAN No.?

If PAN is not issued earlier, did the CLF apply for PAN?

Does this CLF file their annual ITR?

How long have you been working as IPRP?

What is the highest standard of education you have passed?

Did you work as any cadre previously before selection as IPRP?

What was the cadre position/ role you were working in previously?

Can you tell us about your roles and responsibilities in CLF? var statement=document.write(localStorage.getItem('total'));

To create an environment for CRP drive in all the villages falling under the cluster and to provide support to the community-based institutions formed in the village after the drive.

Group Formation and Activation of Inactive Groups The work related to health and nutrition is to provide training and capacity building of the office bearers of self-help groups, village organizations and cluster level associations

To provide support to the community cadre in micro credit scheme (MCP), revolving fund grading audit, etc.

Opening of accounts of groups and getting their bank linkages done in due course

Ensure that monthly reports of groups, village organizations and cluster level associations are filled

Ensure loan repayment to self-help groups, village organizations and cluster level associations

Internal auditing as per rules of village composition and cluster level association

To carry out all the tasks given by the cluster level association in a timely manner.

To participate in the meeting of all the gram sanghatanas of your cluster after the formation of the gram sanghatana

To participate in the meeting of each cluster level association after the formation of the cluster association

To assist the package association accountant in writing the Books of Records

Do you submit your work done report/MPR every month to your CLF?

How do you submit your work done report/MPR?

Do you have any mobile applications for the submission of MPR?

If through mobile application, can you tell the name of mobile app?

Was the vision building training organized for CLF?

Who organized the vision building training for the CLF?

Has the vision document been developed by the CLF members?

Are you aware of the rotation of the OB to give opportunity to other EC members?

If yes, in your knowledge whether leadership Rotation has happened in last 1 year

Since the formation of this CLF, how many times have the leadership position has been rotated?

What is the norm for conducting EC meeting of this CLF?

How many EC meetings were held in the last three months?

Does the CLF has its own bylaws?

Does the CLF have the following committees? var statement=document.write(localStorage.getItem('total'));

Social Action Sub Committee

Bank linkage Subcommittee

Livelihoods Promotion Subcommittee

Procurement committee

Monitoring Sub committee

Is the committee active? var statement=document.write(localStorage.getItem('total'));

Social Action Sub Committee

Bank linkage Subcommittee

Livelihoods Promotion Subcommittee

Procurement committee

Monitoring Sub committee

If yes, how many Committee meetings held in the last three months? var statement=document.write(localStorage.getItem('total'));

Social Action Sub Committee

Bank linkage Subcommittee

Livelihoods Promotion Subcommittee

Procurement committee

Monitoring Sub committee

Were the following issues discussed during the last four EC meetings? var statement=document.write(localStorage.getItem('total'));

Health and nutrition related issues – importance of balance diet / child and maternal health, health services in the village

Sanitation related issues- importance of cleanliness, sanitation practices, availability of clean drinking water, construction of toilets etc.

Education in the village- school enrolment, availability of the teaching staff etc.

Involvement in Panchayati Raj Institutions – Participation in Gram Sabha (General)

Active Participation in Government Schemes- by facilitating members to access Govt. Welfare/ Development Schemes/Programs (e.g., MGNREGS, PDS, etc.

Discussion on Household Livelihoods (e.g., Livestock, Animal husbandry, farming etc.)

Self-employment schemes

Discussion around ways to prevent CORONA (COVID-19) infection, social distancing, handwashing, use of mask etc.

Can you tell us about your roles and responsibilities in CLF?

Does the CLF have the following committees?

Is the committee active?

If yes, how many Committee meetings held in the last three months?

Were the following issues discussed during the last four EC meetings?

Spontaneous

Probed

Whether the record is introduced in the CLF?

Please record date last updated