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Clf Template 7 -Form Fill
Identification Information
Q01
State Name
Q02
State Code
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Q07
Cluster Level Federation Name
Q08
Cluster Level Federation Unique ID
Survey Information
A01
Name of the respondents
A02
Designation of the respondent
President
Vice-President
Secretary
Treasurer
Bookkeeper
If others (specify____)
A03
Respondent identification code
A04
FIRST VISIT
A04_1
Interviewer name
A04_2
Interviewed code
A04_3
Date of the interview
A04_4
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for an extended period
Respondent is temporarily away
Other (specify)
A04_5
Record time when you start the interview
A04_6
Record time when you start the interview
CLF Formation, Training, and Capacity Building
B01
What is the date of formation of this CLF?
B02
How many VOs are there as members of this CLF?
B03
How many VOs had joined CLF after its formation
B04
How many VOs had left the CLF after the formation
B05
What is the target number of households to be joined in the SHGs under this CLF?
B06
How many households have joined the SHGs under this CLF until 31st July 2022?
B07
How many households joined in the SHGs under this CLF till 31st July 2022 belong to SC/ST and other vulnerable communities?
B08
How many SHGs have been formed under this CLF?
B09
Is this CLF registered?
Yes
No
B10
What is the date of registration of this CLF?
B11
Under what act is CLF registered?
Cooperative Society act
Trust
Society Act
Mutually aided Cooperative society or Self-supporting act
Companies act
Mutual benefit trust
Producer companies act
If other, please specify: ______
B12
Does this CLF have a dedicated office space?
Yes
No
B13
Does the CLF office have any or all these electronics?
computer
internet
printe
webcam
refrigerator
projector
all
B14
In the last year (2021-22), has the accounts of this CLF been audited by an external agency?
Yes
No
B15
If yes, how many times and how frequently have the external audits been conducted?
B16
Who conducted the external audits for the CLF?
B17
In the last year, has the accounts of this CLF been audited internally?
Yes
No
B18
If yes, how many times and how frequently have the internal audits been conducted?
B19
Who conducted the internal audits for the CLF?
CRPs/Audit CRPs
Mission staff
CLF Staff
Others
B20
How many days in a week is the CLF office functional?
B21
What are the regular office hours of this CLF?
B22
On average, how much time is required for carrying out the daily operations of this CLF?
B23
How often do the Office Bearers (OB) visit this CLF office in the last month?
Daily
Weekly
Fortnightly
Monthly
Others
B24
How many EC OBs visited the CLF office in the last month?
B25
What is the status of training?
B25_1
CLF Concept and Functioning
Completed
Planned
Not Planned
B25_2
CLF Books Keeping
Completed
Planned
Not Planned
B25_3
Accounting package (e.g., Tally)
Completed
Planned
Not Planned
B25_4
Refresher CBKM1
Completed
Planned
Not Planned
B25_5
Roles of CLF Sub-Committee
Completed
Planned
Not Planned
B25_6
Procurement Sub-Committee
Completed
Planned
Not Planned
B25_7
SOP-Financial management/Fund management
Completed
Planned
Not Planned
B25_8
MCP/MIP Preparation/Facilitation and Appraisal
Completed
Planned
Not Planned
B25_9
SOP-Governance
Completed
Planned
Not Planned
B25_10
Grading of VO
Completed
Planned
Not Planned
B25_11
Livelihood and Income Generation
Completed
Planned
Not Planned
B25_12
SOP – CBO HR/Cadre Review
Completed
Planned
Not Planned
B25_13
Gender
Completed
Planned
Not Planned
B25_14
Health
Completed
Planned
Not Planned
B25_15
Sanitation
Completed
Planned
Not Planned
B25_16
Village Poverty Reduction Plan (VPRP)
Completed
Planned
Not Planned
B25_17
Gram Panchayat Development Plan (GPDP)
Completed
Planned
Not Planned
B26
Training Date
B26_1
CLF Concept and Functioning
B26_2
CLF Books Keeping
B26_3
Accounting package (e.g., Tally)
B26_4
Refresher CBKM1
B26_5
Roles of CLF Sub-Committee
B26_6
Procurement Sub-Committee
B26_7
SOP-Financial management/Fund management
B26_8
MCP/MIP Preparation/Facilitation and Appraisal
B26_9
SOP-Governance
B26_10
Grading of VO
B26_11
Livelihood and Income Generation
B26_12
SOP – CBO HR/Cadre Review
B26_13
Gender
B26_14
Health
B26_15
Sanitation
B26_16
Village Poverty Reduction Plan (VPRP)
B26_17
Gram Panchayat Development Plan (GPDP)
B27
Duration
B27_1
CLF Concept and Functioning
B27_2
CLF Books Keeping
B27_3
Accounting package (e.g., Tally)
B27_4
Refresher CBKM1
B27_5
Roles of CLF Sub-Committee
B27_6
Procurement Sub-Committee
B27_7
SOP-Financial management/Fund management
B27_8
MCP/MIP Preparation/Facilitation and Appraisal
B27_9
SOP-Governance
B27_10
Grading of VO
B27_11
Livelihood and Income Generation
B27_12
SOP – CBO HR/Cadre Review
B27_13
Gender
B27_14
Health
B27_15
Sanitation
B27_16
Village Poverty Reduction Plan (VPRP)
B27_17
Gram Panchayat Development Plan (GPDP)
B28
Who facilitated the training?
B28_1
CLF Concept and Functioning
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_2
CLF Books Keeping
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_3
Accounting package (e.g., Tally)
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_4
Refresher CBKM1
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_5
Roles of CLF Sub-Committee
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_6
Procurement Sub-Committee
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_7
SOP-Financial management/Fund management
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_8
MCP/MIP Preparation/Facilitation and Appraisal
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_9
SOP-Governance
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_10
Grading of VO
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_11
Livelihood and Income Generation
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_12
SOP – CBO HR/Cadre Review
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_13
Gender
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_14
Health
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_15
Sanitation
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_16
Village Poverty Reduction Plan (VPRP)
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B28_17
Gram Panchayat Development Plan (GPDP)
NRETP team
National Resource persons (NRPs)
State Resource persons (SRPs)
National CRPs
State CRPs
Block Resource persons
District Resource persons
Others
B29
Where was training conducted?
B29_1
CLF Concept and Functioning
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_2
CLF Books Keeping
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_3
Accounting package (e.g., Tally)
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_4
Refresher CBKM1
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_5
Roles of CLF Sub-Committee
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_6
Procurement Sub-Committee
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_7
SOP-Financial management/Fund management
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_8
MCP/MIP Preparation/Facilitation and Appraisal
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_9
SOP-Governance
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_10
Grading of VO
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_11
Livelihood and Income Generation
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_12
SOP – CBO HR/Cadre Review
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_13
Gender
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_14
Health
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_15
Sanitation
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_16
Village Poverty Reduction Plan (VPRP)
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B29_17
Gram Panchayat Development Plan (GPDP)
At CLF office
At VO office
At Block office
Community Managed Training centre (CMTC)
Any Other
B30
Was training material provided?
B30_1
CLF Concept and Functioning
Yes
No
B30_2
CLF Books Keeping
Yes
No
B30_3
Accounting package (e.g., Tally)
Yes
No
B30_4
Refresher CBKM1
Yes
No
B30_5
Roles of CLF Sub-Committee
Yes
No
B30_6
Procurement Sub-Committee
Yes
No
B30_7
SOP-Financial management/Fund management
Yes
No
B30_8
MCP/MIP Preparation/Facilitation and Appraisal
Yes
No
B30_9
SOP-Governance
Yes
No
B30_10
Grading of VO
Yes
No
B30_11
Livelihood and Income Generation
Yes
No
B30_12
SOP – CBO HR/Cadre Review
Yes
No
B30_13
Gender
Yes
No
B30_14
Health
Yes
No
B30_15
Sanitation
Yes
No
B30_16
Village Poverty Reduction Plan (VPRP)
Yes
No
B30_17
Gram Panchayat Development Plan (GPDP)
Yes
No
B31
To whom was the training imparted?
B31_1
CLF Concept and Functioning
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_2
CLF Books Keeping
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_3
Accounting package (e.g., Tally)
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_4
Refresher CBKM1
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_5
Roles of CLF Sub-Committee
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_6
Procurement Sub-Committee
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_7
SOP-Financial management/Fund management
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_8
MCP/MIP Preparation/Facilitation and Appraisal
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_9
SOP-Governance
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_10
Grading of VO
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_11
Livelihood and Income Generation
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_12
SOP – CBO HR/Cadre Review
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_13
Gender
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_14
Health
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_15
Sanitation
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_16
Village Poverty Reduction Plan (VPRP)
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B31_17
Gram Panchayat Development Plan (GPDP)
To Office bearers
To all EC members
All subcommittee members
concerned subcommittee members
Book Keeper/CLF accountant
Few EC members and Office Bearers
All CLF staff
Any other, please specify
B32
Was the training useful and content relevant?
B32_1
CLF Concept and Functioning
Very much
Somewhat
Not much
B32_2
CLF Books Keeping
Very much
Somewhat
Not much
B32_3
Accounting package (e.g., Tally)
Very much
Somewhat
Not much
B32_4
Refresher CBKM1
Very much
Somewhat
Not much
B32_5
Roles of CLF Sub-Committee
Very much
Somewhat
Not much
B32_6
Procurement Sub-Committee
Very much
Somewhat
Not much
B32_7
SOP-Financial management/Fund management
Very much
Somewhat
Not much
B32_8
MCP/MIP Preparation/Facilitation and Appraisal
Very much
Somewhat
Not much
B32_9
SOP-Governance
Very much
Somewhat
Not much
B32_10
Grading of VO
Very much
Somewhat
Not much
B32_11
Livelihood and Income Generation
Very much
Somewhat
Not much
B32_12
SOP – CBO HR/Cadre Review
Very much
Somewhat
Not much
B32_13
Gender
Very much
Somewhat
Not much
B32_14
Health
Very much
Somewhat
Not much
B32_15
Sanitation
Very much
Somewhat
Not much
B32_16
Village Poverty Reduction Plan (VPRP)
Very much
Somewhat
Not much
B32_17
Gram Panchayat Development Plan (GPDP)
Very much
Somewhat
Not much
B33
Do you recall the training content?
B33_1
CLF Concept and Functioning
Able to recall well
Able to recall partly
Not able to recall
B33_2
CLF Books Keeping
Able to recall well
Able to recall partly
Not able to recall
B33_3
Accounting package (e.g., Tally)
Able to recall well
Able to recall partly
Not able to recall
B33_4
Refresher CBKM1
Able to recall well
Able to recall partly
Not able to recall
B33_5
Roles of CLF Sub-Committee
Able to recall well
Able to recall partly
Not able to recall
B33_6
Procurement Sub-Committee
Able to recall well
Able to recall partly
Not able to recall
B33_7
SOP-Financial management/Fund management
Able to recall well
Able to recall partly
Not able to recall
B33_8
MCP/MIP Preparation/Facilitation and Appraisal
Able to recall well
Able to recall partly
Not able to recall
B33_9
SOP-Governance
Able to recall well
Able to recall partly
Not able to recall
B33_10
Grading of VO
Able to recall well
Able to recall partly
Not able to recall
B33_11
Livelihood and Income Generation
Able to recall well
Able to recall partly
Not able to recall
B33_12
SOP – CBO HR/Cadre Review
Able to recall well
Able to recall partly
Not able to recall
B33_13
Gender
Able to recall well
Able to recall partly
Not able to recall
B33_14
Health
Able to recall well
Able to recall partly
Not able to recall
B33_15
Sanitation
Able to recall well
Able to recall partly
Not able to recall
B33_16
Village Poverty Reduction Plan (VPRP)
Able to recall well
Able to recall partly
Not able to recall
B33_17
Gram Panchayat Development Plan (GPDP)
Able to recall well
Able to recall partly
Not able to recall
B34
Is the training session noted in the book of records?
B34_1
CLF Concept and Functioning
Yes
No
B34_2
CLF Books Keeping
Yes
No
B34_3
Accounting package (e.g., Tally)
Yes
No
B34_4
Refresher CBKM1
Yes
No
B34_5
Roles of CLF Sub-Committee
Yes
No
B34_6
Procurement Sub-Committee
Yes
No
B34_7
SOP-Financial management/Fund management
Yes
No
B34_8
MCP/MIP Preparation/Facilitation and Appraisal
Yes
No
B34_9
SOP-Governance
Yes
No
B34_10
Grading of VO
Yes
No
B34_11
Livelihood and Income Generation
Yes
No
B34_12
SOP – CBO HR/Cadre Review
Yes
No
B34_13
Gender
Yes
No
B34_14
Health
Yes
No
B34_15
Sanitation
Yes
No
B34_16
Village Poverty Reduction Plan (VPRP)
Yes
No
B34_17
Gram Panchayat Development Plan (GPDP)
Yes
No
Operational Guidelines of CLF
C01
What are the different staff working for this CLF on a payroll?
CLF Manager
Accountant
MIS coordinator
Other’s Specify
C02
Does this M-CLF review the work performance of their staff?
No
Monthly
Quarterly
Half Yearly
Annually
Do not think a review is needed
C03
Has this M-CLF/CLF provided annual appraisal to their staff based on the review?
Yes
No
C04
Are the CLF staff aware of any community operational guidelines that need to be followed?
Yes
No
C05
If yes, then what are the different community operational guidelines that the CLF staff are aware of?
Meetings by CBOs
Trainings and capacity building of CBOs
Flow of funds/grants in/to the CBOs
Credit linkages to the CBOs
Formation and functioning of sub-committees at CLF
Promotion of livelihood opportunities
Skilling of staff from CBOs
Convergence with existing schemes of the stakeholders for community development
Health and nutrition-related guidelines
Community procurement process
Repayment of loans
Other’s specify
C06
Does the CLF have a physical record (s) of the operation guidelines?
Yes
No
C07
Do these operational guidelines clearly define the roles and responsibilities of office bearers of your CLF and their subcommittees?
Yes
No
C08
Does CLF have its By-laws?
Yes
No
C09
Have you read/know what is in the By-laws?
Yes
No
C10
Does the CLF review its operational guidelines?
Yes
No
C11
When was the last time your CLF had reviewed its operational guidelines?
C12
Does your CLF prepare an annual action plan?
Yes
No
C13
What are the key priorities of the annual action plan?
C14
Does your CLF have an active MIS?
Yes
No
C15
Does the MIS contain information on Member VOs?
Yes
No
C16
Does the MIS contain information on the member SHGs?
Yes
No
C17
How many cases of grievances have been reported in the last year in the CLF?
C18
How many of those reported grievances have been addressed by the CLF?
Leadership
D01
Name of the office bearer
D02
Age of this Office bearer
D03
Religion of this office-bearer
Hinduism
Islam
Christianity
Jainism
Sikh
Buddhism
If other (Specify___)
D04
Social category of this office bearer
SC
ST
MBC
OBC
General
PVTG
Extreme Backward Class
If other (Specify___)
D05
Position currently held by this office bearer
President
Vice President
Secretary
Joint Secretary
Treasurer
D06
What is the tenure of holding this position?
D07
How many terms can be held by an office bearer for this position?
D08
Year since holding the position
D09
In which year did the last rotation in position take place?
D10
Does CLF is paying honorarium to the Office bearers
Yes
No
D11
Education level of this office-bearera
Primary
Middle
Secondary
Senior secondary
Certificate/ Diploma course
Graduate
Postgraduate
If others(specify)
Never attended school
D12
What type of ration card does the member’s household have?
Orange (APL)
Yellow (BPL)
White (Annual Income > Rs 1 Lakh)
Annapurna (Age above 65 years)
Antodaya Anna Yojana (AAY)
Priority Household (PHH)
Do not have any ration card
Do not know
If Other, please specify
D13
Is the office bearer disabled?
Yes
No
D14
What are the trainings received by the office-bearer?
CLF concept and Functioning
CLF Books Keeping
Accounting package Refresher
Roles of CLF Sub-Committee
Procurement Sub-Committee
SOP-Financial management/Fund management
MCP/MIP Preparation/ Facilitation and Appraisal
SOP-Governance
Grading of VO
Livelihood and Income Generation
SOP – CBO HR/Cadre Review
Gender
Health
Sanitation
VPRP
GPDP
No training received
If others (specify______)
D15
Are they working as cadres or as VO/CLF staff?
Yes
No
Governing Body/ Executive Committee (EC)
E01
When was the present Board of Directors (BOD)/ Executive Committee (EC) of the CLF constituted?
E02
How many Board of Directors (BOD)/ Executive Committee (EC) members of the CLF are elected?
E03
How frequently do the BOD/ Executive Committee of this CLF meet?
E04
How many were BOD/ EC meetings held in the last 12 months?
E05
When was the 1st General Meeting convened after the registration of this CLF?
E06
Were the minutes of the 1st General meeting captured?
Yes
No
E07
Provide details of the last 4 meetings
E07A
Meeting 1
E07A_1
Happened ?
Yes
No
E07A_2
Date
E07A_3
No. of Members present
E07B
Meeting 2
E07B_1
Happened ?
Yes
No
E07B_2
Date
E07B_3
No. of Members present
E07C
Meeting 3
E07C_1
Happened ?
Yes
No
E07C_2
Date
E07C_3
No. of Members present
E07D
Meeting 4
E07D_1
Happened ?
Yes
No
E07D_2
Date
E07D_3
No. of Members present
E08
Please provide details of members who failed to attend consecutive three meetings
E09
Why were the meetings not held?
Lack of quorum required for the meeting
There was a function (marriage, festival, etc.) in the village
Meetings were suspended due to CORONA (COVID-19)
If others (specify___)
E10
Have the details of the meeting been recorded in the books of records (attendance, minutes of meetings, and signature of chairperson)?
E10_1
Meeting 1
Yes
No
E10_2
Meeting 2
Yes
No
E10_3
Meeting 3
Yes
No
E10_4
Meeting 4
Yes
No
E11
Was any penalty levied on any of the EC members who did not attend the EC meeting?
Yes
No
E12
If the response is yes, please specify the details of the penalty levied by this CLF?
E13
If the response is no, please specify the reasons for not penalizing the members?
E14
What topics were discussed in the last 4 meetings of the EC
E14_1
Meeting 1
Issues related to savings & loan
Maintenance of records
Disbursement of CIF
Schedule and loan repayment terms
Grading of VO and SHG
Promotion/ Status of PG
Promotion/ Status of RRM
Promotion/ Status DKR
Issues related to VHSND
Issues related to Community Cadre
Quality of services provided by ASHA/AWW
Sanitation issues
Convergence with welfare schemes
Gender issues
Symptoms and preventive measures for CORONA (COVID-19)
Education
FNHW
If others (Specify___)
E14_2
Meeting 2
Issues related to savings & loan
Maintenance of records
Disbursement of CIF
Schedule and loan repayment terms
Grading of VO and SHG
Promotion/ Status of PG
Promotion/ Status of RRM
Promotion/ Status DKR
Issues related to VHSND
Issues related to Community Cadre
Quality of services provided by ASHA/AWW
Sanitation issues
Convergence with welfare schemes
Gender issues
Symptoms and preventive measures for CORONA (COVID-19)
Education
FNHW
If others (Specify___)
E14_3
Meeting 3
Issues related to savings & loan
Maintenance of records
Disbursement of CIF
Schedule and loan repayment terms
Grading of VO and SHG
Promotion/ Status of PG
Promotion/ Status of RRM
Promotion/ Status DKR
Issues related to VHSND
Issues related to Community Cadre
Quality of services provided by ASHA/AWW
Sanitation issues
Convergence with welfare schemes
Gender issues
Symptoms and preventive measures for CORONA (COVID-19)
Education
FNHW
If others (Specify___)
E14_4
Meeting 4
Issues related to savings & loan
Maintenance of records
Disbursement of CIF
Schedule and loan repayment terms
Grading of VO and SHG
Promotion/ Status of PG
Promotion/ Status of RRM
Promotion/ Status DKR
Issues related to VHSND
Issues related to Community Cadre
Quality of services provided by ASHA/AWW
Sanitation issues
Convergence with welfare schemes
Gender issues
Symptoms and preventive measures for CORONA (COVID-19)
Education
FNHW
If others (Specify___)
E15
Has the CLF formed different sub-committees for managing various roles and responsibilities of the CLF?
Yes
No
Sub-Committees
F01
Has the CLF formed different sub-committees for managing various roles and responsibilities of the CLF?
Yes
No
F02
COMMITTEE TYPE
Social Action Committee
Asset Verification Committee
Monitoring Committee
Bank Linkage Committee
Livelihood Committee
Procurement and Purchase Committee
If others(specify____)
F03
When was this committee formed?
F04
How many members are there on the committee currently?
F05
How many times did this committee meet in the last 12 months?
F06
Key roles and responsibilities
F07
What are the trainings received by this committee to perform its duties?
Need for the formation of sub-committees and review process
Training on health and nutrition practices
training on livelihood and procurement
training on monitoring and reviewing VO work
Other’s specify
F08
How would you rate the effectiveness of this committee?
Can’t say/not willing to respond
not effective
moderately effective
effective
very effective
F09
Does this CLF conduct review meetings of sub-committees?
Yes
No
F10
How frequently are review meetings conducted?
Monthly
Bimonthly
Quarterly
Bi-Annually
Annually
F11
How many review meetings were conducted in the past 12 months?
F12
What were different processes reviewed in these meetings?
Monitoring of bank account opening by the SHGs
Review of microfinance activities by VO
Role taken in the engagement of SHGs in income generation activities
Reviewing the role of VOs in developing the local economy
Reviewing the social development plans of VO
Monitoring whether SHGs enrolled the poorest of poor and vulnerable sections of the community
Monitor the training and awareness program on health and education conducted by VO
Monitoring on social issues like child marriage, child labor, etc. not practiced in their cluster areas
Attendance of sub-committee members in the meetings
Participation of sub-committee members in their role
Other’s specify
F13
Have the details of review meetings in the last 12 months been recorded in the books of records (attendance, minutes of meeting, and signature by chairperson)
Yes
No
F14
Has the signed copy of the minutes of the review meetings been submitted to EC?
Yes
No
Infrastructure Facilities Available in the M-CLF
G01
Availability of asset with M-CLF
G01_1
Desktop computer
Yes
No
G01_2
MS Office software with OS
Yes
No
G01_3
UPS (Power backup)
Yes
No
G01_4
Printer
Yes
No
G01_5
LCD Projector
Yes
No
G01_6
Screen for projector
Yes
No
G01_7
Tables
Yes
No
G01_8
Chairs
Yes
No
G01_9
Computer Table
Yes
No
G01_10
Steel Almirah for office
Yes
No
G01_11
Accounting Software (Eg. Tally)
Yes
No
G01_12
Separate hall for training/training center
Yes
No
G02
No. of assets/ items
G02_1
Desktop computer
G02_2
MS Office software with OS
G02_3
UPS (Power backup)
G02_4
Printer
G02_5
LCD Projector
G02_6
Screen for projector
G02_7
Tables
G02_8
Chairs
G02_9
Computer Table
G02_10
Steel Almirah for office
G02_11
Accounting Software (Eg. Tally)
G02_12
Separate hall for training/training center
G03
Present Condition of asset
G03_1
Desktop computer
Good and working
Not working/ junk
G03_2
MS Office software with OS
Good and working
Not working/ junk
G03_3
UPS (Power backup)
Good and working
Not working/ junk
G03_4
Printer
Good and working
Not working/ junk
G03_5
LCD Projector
Good and working
Not working/ junk
G03_6
Screen for projector
Good and working
Not working/ junk
G03_7
Tables
Good and working
Not working/ junk
G03_8
Chairs
Good and working
Not working/ junk
G03_9
Computer Table
Good and working
Not working/ junk
G03_10
Steel Almirah for office
Good and working
Not working/ junk
G03_11
Accounting Software (Eg. Tally)
Good and working
Not working/ junk
G03_12
Separate hall for training/training center
Good and working
Not working/ junk
G04
Remarks
G04_1
Desktop computer
G04_2
MS Office software with OS
G04_3
UPS (Power backup)
G04_4
Printer
G04_5
LCD Projector
G04_6
Screen for projector
G04_7
Tables
G04_8
Chairs
G04_9
Computer Table
G04_10
Steel Almirah for office
G04_11
Accounting Software (Eg. Tally)
G04_12
Separate hall for training/training center
Review and Monitoring
H01
How often does the CLF review the activities of the member VOs?
Fortnightly
Monthly
Once in two months
No predetermined frequency
Never reviewed
If others (Specify__)
H02
What VO activities are reviewed by the CLF?
Books of records /Quality of bookkeeping
Micro credit plan
Utilization of the CIF
Democratic financial transactions in VO
Financial transactions between VO and CLF
Social Issues
VO Bank-Linkage
Promotion of livelihood activities by VO
Performance of the VOs
If others (Specify__)
H03
What kind of support does this CLF provide to the member VOs?
Providing handholding support in maintenance of records
Providing support in maintaining financial discipline
Providing support in the identification of livelihood activities
Providing information on flagship government schemes
Facilitating market linkages
Training and Capacity building
Monitoring the performance of VOs
Social issues
Problem solving and conflict resolution
If others (Specify__)
H04
Does this CLF prepare a monthly progress report?
Yes
No
H05
What major points are covered in the monthly progress report?
Progress of CLF level financial and non-Financial transaction
Repayment status of VOs prepared and used for review
Progress of convergence and other activities at the CLF level
Progress of Farm / Non-Farm livelihood activities
H06
Does this CLF generate action plans?
Yes
No
H07
When was the last time when CLF prepared this plan?
H08
Does this CLF conduct grading of VO?
Yes
No
H09
How many VOs have been graded till now by this CLF?
H10
How many VOs are in each of the grades?
H10_1
Grade A
H10_2
Grade B
H10_3
Grade C
H10_4
Grade D
H11
How many SHGs under this CLF have been graded?
H11_1
Grade A
H11_2
Grade B
H11_3
Grade C
H11_4
Grade D
H12
When was the last Annual General Meeting (AGM) conducted?
H13
When were the last Annual returns submitted to the concerned authority?
H14
Was the notice for AGM served to all the members?
Yes
No
H15
Was it displayed on Notice Board?
Yes
No
H16
Has the attendance of members been recorded?
Yes
No
H17
What major resolutions passed unanimously in the AGM?
H18
Have the minutes of the meeting been captured?
Yes
No
H19
Did each resolution get signed by the chairperson of the meeting?
Yes
No
H20
When were the Income Tax Returns (if applicable) filed?
H21
What documents are submitted as part of Annual Returns to the Registrar of Societies?
Meeting Regularity and Attendance in Last Six Months/Meetings
I01
Check if the following book of records is available or not?
I01_1
Membership Register
Yes
No
I01_2
Meetings Register
Yes
No
I01_3
Minutes Book
Yes
No
I01_4
Savings Register
Yes
No
I01_5
General Ledger
Yes
No
I01_6
Daily Expenses Register
Yes
No
I01_7
Cash Book
Yes
No
I01_8
Loan Register
Yes
No
I01_9
Receipt Book
Yes
No
I01_10
Voucher Book
Yes
No
I01_11
Stock register
Yes
No
I01_12
Financial statements
Yes
No
I01_13
CLF Passbook
Yes
No
I01_14
Cheque Issue Register
Yes
No
I01_15
DCB Register
Yes
No
I01_16
Issuance of share certificate
Yes
No
I02
Check if the book of records is updated or not?
I02_1
Membership Register
Updated till last meeting
Partly updated
Incomplete
I02_2
Meetings Register
Updated till last meeting
Partly updated
Incomplete
I02_3
Minutes Book
Updated till last meeting
Partly updated
Incomplete
I02_4
Savings Register
Updated till last meeting
Partly updated
Incomplete
I02_5
General Ledger
Updated till last meeting
Partly updated
Incomplete
I02_6
Daily Expenses Register
Updated till last meeting
Partly updated
Incomplete
I02_7
Cash Book
Updated till last meeting
Partly updated
Incomplete
I02_8
Loan Register
Updated till last meeting
Partly updated
Incomplete
I02_9
Receipt Book
Updated till last meeting
Partly updated
Incomplete
I02_10
Voucher Book
Updated till last meeting
Partly updated
Incomplete
I02_11
Stock register
Updated till last meeting
Partly updated
Incomplete
I02_12
Financial statements
Updated till last meeting
Partly updated
Incomplete
I02_13
CLF Passbook
Updated till last meeting
Partly updated
Incomplete
I02_14
Cheque Issue Register
Updated till last meeting
Partly updated
Incomplete
I02_15
DCB Register
Updated till last meeting
Partly updated
Incomplete
I02_16
Issuance of share certificate
Updated till last meeting
Partly updated
Incomplete
I03
Please record the date last updated
I03_1
Membership Register
I03_2
Meetings Register
I03_3
Minutes Book
I03_4
Savings Register
I03_5
General Ledger
I03_6
Daily Expenses Register
I03_7
Cash Book
I03_8
Loan Register
I03_9
Receipt Book
I03_10
Voucher Book
I03_11
Stock register
I03_12
Financial statements
I03_13
CLF Passbook
I03_14
Cheque Issue Register
I03_15
DCB Register
I03_16
Issuance of share certificate
I04
Please specify the reason for not updating the book of records
I04_1
Membership Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_2
Meetings Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_3
Minutes Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_4
Savings Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_5
General Ledger
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_6
Daily Expenses Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_7
Cash Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_8
Loan Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_9
Receipt Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_10
Voucher Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_11
Stock register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_12
Financial statements
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_13
CLF Passbook
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_14
Cheque Issue Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_15
DCB Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
I04_16
Issuance of share certificate
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
BookKeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
Financial Management
J01
Opening of CLF Bank Account
J01_1
Whether the signature of the CLF President, Secretary, and Treasurer are taken for opening the bank account?
Yes
No
J01_2
Type of CLF bank account
Savings
Current
J01_3
How many bank accounts are opened and linked with your CLF?
J01_4
Has basic training been provided to manage a community investment fund (CIF)?
Yes
No
J01_5
Does this CLF have a separate bank account for the Insurance Support Fund?
Yes
No
J02
Authorization for operating the CLF Bank Account
J02_1
Do any two signatories, the CLF President, Secretary, and Treasurer, mandatorily authorize all bank transactions?
Yes
No
J02_2
How do they know the amount and purpose to whom payment is being made?
J02_3
Do all three signatories mandatorily sign all deposit and withdrawal slips, NEFT, RTGS receipts, etc.?
Yes
No
J02_4
Are the hard copies of all transactions preserved as supporting documents?
Yes
No
J02_5
Whether the decision for the transactions are recorded in minute books?
Yes
No
J02_6
Do you have any rules for handling the cash in the CLF?
Yes
No
J02_7
If yes, briefly explain the process followed by this CLF for handling the cash?
J03
Custody of cheques and their transactions
J03_1
Are all cheques in a safe lock (with two keys) in the CLF office?
Yes
No
J03_2
Is one key for the safe lock kept with the CLF secretary and the other with the CLF treasurer/ manager?
Yes
No
J03_3
Are any cheques kept in the personal custody of the CLF president, secretary, treasurer, accountant, manager, or member?
Yes
No
J03_4
Are all cheque transactions recorded in the appropriate book of records maintained in the CLF office?
Yes
No
J03_5
Do CLF President, Secretary, and Treasurer sign the advance or blank cheques?
Yes
No
J03_6
Are any cheques issued but not handed over to the payee for over 60 days?
Yes
No
J03_7
If yes, please prepare a statement showing cheque no. date, amount, name of the payee(s), and payer(s).
J03_8
Are there any cheques that were issued but not deposited in the bank for over 60 days?
Yes
No
J03_9
If yes, please prepare a statement showing cheque no. date, amount, name of the payee(s), and payer(s).
J04
Are all office expenses carried out according to rules and regulations set by the Mission guidelines?
Yes
No
J05
How many sources have your CLF received funds from since the formation, Start-up-Cost, etc.?
J05_1
Does the CLF prepare a business development plan?
Yes
No
J05_2
Have NRETP funds been received?
Yes
No
J05_3
If yes, are those funds managed and utilized according to to set guidelines of NRETP?
Yes
No
J05_4
Are discrepancies in management and utilization of this fund resolved through filing a criminal case against those involved?
Yes
No
J05_5
What measures have CLF management and SRLM taken to resolve these issues?
J05_6
What are the lending norms set by CLFs for onward lending VO/ SHG/ PG/ PC?
Loan management system in place
Updated Book of Records
percentage of SC/STs in SHG/VOs more than or equal to 60%
Repayment history of the VO/SHG
Categorization of SHG/VO is Grade A
Idle funds
outstanding amount of VO/SHG
discussion based on business model/ plan for PGs/PCs
Fulfillment of the Panchsutra norms
Regular rotation of office bearers as per norms
Linked VO and SHGs promoting convergence activities
If Other, please specify: ________
J05_7
What are the loan eligibility criteria set by CLF for onward lending of VO/ SHG/ PG/ PC?
J05_8
Has the CLF funded any interest-free loans to any of the VO/ SHG/ PG/ PC?
Yes
No
J05_8A
No. of VOs receiving interest-free loans from your CLF in the last year
J05_8B
No. of SHGs receiving interest-free loans from your CLF in the last year
J05_8C
No. of PGs receiving interest-free loans from your CLF in the last year
J05_8D
No. of PCs receiving interest-free loans from your CLF in the last year
J05_9
What loan products does the CLF use for onward lending of VO/ SHG/ PG/ PC?
J05_10
What is the purpose of the loan CLF gives to VO/ SHG/ PG/ PC?
J05_11
Is the documentation complete for all the loans that CLF has given to VO/ SHG/ PG/ PC?
Yes
No
J05_12
On average, what is the rate of interest charged by CLF for onward lending to VO/ SHG/ PG/ PC? (monthly)
J05_13
On average, what are the number of installments in which the loan is repaid to CLF?
J05_14
What is the type of repayment on these CLF loans?
J05_15
What is the mode of repayment on the CLF loans?
J05_16
How does the CLF manage delayed repayments or defaults?
J05_17
Is there a timely flow of funds among CBOs, i.e., from higher federations (CLFs) to lower (VOs/ SHGs/ PG/ PE)?
Yes
No
J05_18
If not, what are the reasons for the same and how to improve?
J05_19
IF any cash transaction happens between CLF -VO- SHG? If yes, what are ways to reduce the cash transaction amongst CLF-VO-SHG-Member and vice-versa?
J05_20
Is the promotion of digital transactions a good alternative to cash transactions?
Yes
No
J06
Are all bills scrutinized thoroughly for CLF name, transaction date, item name, quantity, rate, total amount, signature, and authorization of the vendor who raised the bill?
J06_1
Does the CLF maintain a ‘Bill Register’ to record date-wise details like bill no?& date, name of the payee, purpose, amount, etc., out of the bills received and bills raised?
Yes
No
J06_2
Is there a verification process and authorization matrix in place, and settlement of bills is done through that process?
Yes
No
J06_3
Does your CLF raise vouchers for the bills that are to be settled?
Yes
No
J07
Are all bills settled through RTGS, NEFT, or Crossed Cheques only?
J07_1
While transacting through the crossed check, is it ensured that the authorized persons of CLF check the name of the party, details of the amount entered in both figures and words, apply transparent cello tape on the entered amount, cross the cheque, or use ‘accounts payee only’ stamp to mark, all authorized signatories have signed the cheque in CLF office only, noted the details of cheques in checkbook and book of records and then issued the cheque?
Yes
No
J07_2
Is there a system in place ensuring that the exact name of the payee as per the duly verified and approved bill is written on the cheque and voucher?
Yes
No
J07_3
Are those cheques crossed as ‘A/c. Payee’ and recorded in the ‘cheque register’ and placed before the signatories along with voucher?
Yes
No
J07_4
Did that cheque get scanned, and was the recipient's signature obtained before handing it over?
Yes
No
J07_5
Is it ensured that the authorized persons of CLF enter every bank transaction, irrespective of through cheque, NEFT, RTGS, etc., in the cheque register and get initial from authorized bank signatories?
Yes
No
J08
Are all transactions entered in books of records/ registers signed by the President, Secretary, and Treasurer?
J08_1
In every CLF meeting, are the members of CLF allowed to access and scrutinize the books of records?
Yes
No
J09
Does CLF Accountant carry out the task of Bank Reconciliation every month?
J09_1
Are the deposits and withdrawals noted in the bank statements scrutinized regularly on a weekly or monthly basis?
Yes
No
J09_2
How much amount the CLF accountant/ Manager is eligible to receive for office expenses?
J09_3
Under which heads of office expense is this amount utilized?
Expense on meetings
Expense on housekeeping
Expense on stationary
If others, please specify
J10
What proportion of the existing advance amount must be utilized to receive the new advance?
J10_1
Before issuing the advance amount, are all approvals according to the set guidelines of CLF taken?
Yes
No
J10_2
Is there any instance when the CLF accountant and manager have received the advance amount simultaneously?
Yes
No
J10_3
Is the unspent balance out of the previous advance amount refunded before requesting a fresh advance?
Yes
No
J10_4
Are there any instances of irregularities in 710C?
Yes
No
J10_5
If yes, please prepare a list of such irregularities.
J10_6
Does the CLF have its advance payment policy defining the category of staff?
Yes
No
J10_7
Does the CLF have its advance payment policy defining the limit of advance?
Yes
No
J10_8
Does the CLF have its advance payment policy defining utilization?
Yes
No
J10_9
Does the CLF have its advance payment policy defining penalty provision?
Yes
No
J10_10
Are cash transactions allowed under your CLF?
Yes
No
J10_11
If yes, what is the maximum limit?
J10_12
Are you aware that the occurrence of cash transactions, if any, will be considered severe financial lapses, and necessary actions will follow?
Yes
No
J10_13
Is there any instance of cash transaction beyond the approved limit?
Yes
No
J10_14
Is there any instance of misappropriation of funds due to cash handling?
Yes
No
J10_15
If yes, please prepare a list of such irregularities.
J11
Statutory Audit
J11_1
Are statutory audits for CLF done?
Yes
No
J11_2
If “Yes”, are audit reports available?
Yes
No
J11_3
Is the unspent balance out of the previous advance amount refunded before requesting a fresh advance?
Yes
No
J11_4
Are there any instances of irregularities?
Yes
No
J11_5
If yes, please prepare a list of such irregularities.
J11_6
Is there any instance of cash transaction beyond the approved limit?
Yes
No
J11_7
Is there any instance of misappropriation of funds due to cash handling?
Yes
No
J11_8
If yes, please prepare a list of such irregularities.
J12
Are there any objections reported in the audit reports?
Yes
No
J12_1
If yes, are the objections low, moderate, or high risks?
Low risk
Moderate risk
High risk
J12_2
How has the CLF management addressed the risk involved?
J13
What is expenditure incurred by the CLF under the following heads:
J13_1
Payment of staff (cadre)
J13_2
Training expenses
J13_3
Purchase fixed assets (ag. Purchase/ Construction of CLF office, furniture, almirah, etc.)
J13_4
Miscellaneous expenses (e.g., brochures printing, stationary purchase, etc.)
J14
What is the amount received by the CLF under the following heads:
J14_1
Membership fees (subscription fee) deposited by VOs
J14_2
Interest received on loans
J14_3
Earnings from other sources (specify)
J14_4
Interest of Fixed Deposit’
J15
Total profit/surplus accumulated by the CLF
J16
Opening balance
J16A
Opening Balance (Cash in hand)
J16B
Opening Balance (Cash in Bank)
J17
Closing balance
J18
Does the CLF invest its idle funds in Fixed Deposits (Short Term deposits) in the name of CLF with its bankers?
Yes
No
J19
Now, I will ask you a few questions about the type of funds received by CLF
J19A
Did you receive [fund]?
J19A_1
CIF
Yes
No
J19A_2
Vulnerability Reduction Fund
Yes
No
J19A_3
Livelihoods Funds
Yes
No
J19A_4
Convergence funds
Yes
No
J19A_5
Infrastructure/ Startup Funds
Yes
No
J19A_6
SVEP/CEF Funds
Yes
No
J19A_7
MKSP Funds
Yes
No
J19A_8
Training and Capacity Building Funds
Yes
No
J19A_9
Institution Building Funds
Yes
No
J19A_10
Working Capital for PG
Yes
No
J19A_11
Insurance Support Fund
Yes
No
J19B
What is the date on which [fund] received last time (MM/YY)
J19B_1
CIF
J19B_2
Vulnerability Reduction Fund
J19B_3
Livelihoods Funds
J19B_4
Convergence funds
J19B_5
Infrastructure/ Startup Funds
J19B_6
SVEP/CEF Funds
J19B_7
MKSP Funds
J19B_8
Training and Capacity Building Funds
J19B_9
Institution Building Funds
J19B_10
Working Capital for PG
J19B_11
Insurance Support Fund
J19C
What is the total amount received by the CLF till the date of this survey under this fund? (in INR)
J19C_1
CIF
J19C_2
Vulnerability Reduction Fund
J19C_3
Livelihoods Funds
J19C_4
Convergence funds
J19C_5
Infrastructure/ Startup Funds
J19C_6
SVEP/CEF Funds
J19C_7
MKSP Funds
J19C_8
Training and Capacity Building Funds
J19C_9
Institution Building Funds
J19C_10
Working Capital for PG
J19C_11
Insurance Support Fund
J19D
How did this CLF receive the fund?
J19D_1
CIF
J19D_2
Vulnerability Reduction Fund
J19D_3
Livelihoods Funds
J19D_4
Convergence funds
J19D_5
Infrastructure/ Startup Funds
J19D_6
SVEP/CEF Funds
J19D_7
MKSP Funds
J19D_8
Training and Capacity Building Funds
J19D_9
Institution Building Funds
J19D_10
Working Capital for PG
J19D_11
Insurance Support Fund
J19E
How many funds were utilized till the date of the survey?
J19E_1
CIF
J19E_2
Vulnerability Reduction Fund
J19E_3
Livelihoods Funds
J19E_4
Convergence funds
J19E_5
Infrastructure/ Startup Funds
J19E_6
SVEP/CEF Funds
J19E_7
MKSP Funds
J19E_8
Training and Capacity Building Funds
J19E_9
Institution Building Funds
J19E_10
Working Capital for PG
J19E_11
Insurance Support Fund
J19F
How did the CLF utilize the fund?
J19F_1
CIF
J19F_2
Vulnerability Reduction Fund
J19F_3
Livelihoods Funds
J19F_4
Convergence funds
J19F_5
Infrastructure/ Startup Funds
J19F_6
SVEP/CEF Funds
J19F_7
MKSP Funds
J19F_8
Training and Capacity Building Funds
J19F_9
Institution Building Funds
J19F_10
Working Capital for PG
J19F_11
Insurance Support Fund
J20
Now, I will ask you a few questions about the details of the capital available at the CLF
J20A
FY 2018-19 (INR)
J20A_1
Net savings/ subscription/contribution from member organizations (after returning to members, if any)
J20A_2
Net share capital (after returning to members, if any)
J20A_3
Fixed deposits made by CLF
J20A_4
CIF outstanding
J20A_5
CEF outstanding
J20A_6
PG loan outstanding
J20A_7
Other loans outstanding (loans given from other grants)
J20A_8
Net profit or loss*
J20A_9
Cash in hand
J20A_10
Cash at bank
J20A_11
Total funds
J20B
FY 2019-20 (INR)
J20B_1
Net savings/ subscription/contribution from member organizations (after returning to members, if any)
J20B_2
Net share capital (after returning to members, if any)
J20B_3
Fixed deposits made by CLF
J20B_4
CIF outstanding
J20B_5
CEF outstanding
J20B_6
PG loan outstanding
J20B_7
Other loans outstanding (loans given from other grants)
J20B_8
Net profit or loss*
J20B_9
Cash in hand
J20B_10
Cash at bank
J20B_11
Total funds
J20C
FY 2020-21 (INR)
J20C_1
Net savings/ subscription/contribution from member organizations (after returning to members, if any)
J20C_2
Net share capital (after returning to members, if any)
J20C_3
Fixed deposits made by CLF
J20C_4
CIF outstanding
J20C_5
CEF outstanding
J20C_6
PG loan outstanding
J20C_7
Other loans outstanding (loans given from other grants)
J20C_8
Net profit or loss*
J20C_9
Cash in hand
J20C_10
Cash at bank
J20C_11
Total funds
J20D
FY 2021-22 (INR)
J20D_1
Net savings/ subscription/contribution from member organizations (after returning to members, if any)
J20D_2
Net share capital (after returning to members, if any)
J20D_3
Fixed deposits made by CLF
J20D_4
CIF outstanding
J20D_5
CEF outstanding
J20D_6
PG loan outstanding
J20D_7
Other loans outstanding (loans given from other grants)
J20D_8
Net profit or loss*
J20D_9
Cash in hand
J20D_10
Cash at bank
J20D_11
Total funds
J21
Please Note Viability Gap Funding (VGF) Details from Book of Records
J21_1
What is the total VGF amount received by CLF?
J21_2
How many tranches of VGF have been received by this M-CLF?
First (50%)
Second (30%)
Third (20%)
None
J21_3
Is the VGF disbursed to VOs?
Yes
No
J21_4
what is VGF utilized for?
J21_5
What is the number of VOs that received the VGF amount from CLF?
J21_6
What is the total amount disbursed to the VOs as VGF by this CLF?
J21_7
Funds Received From NRETP
J22
Now, I will ask you about the details of the income-expenditure statement
J22A
Expenditure (recurring), including the statement of advances during the year
J22A_1
Remuneration to CBO staff
J22A_2
Remuneration to CRP/cadres
J22A_3
Office rent, water, electricity, telephone, communication, internet, etc.
J22A_4
Stationary purchased
J22A_5
Travel expenses
J22A_6
Bank/ commission charges
J22A_7
Other expenditures (if available, mention expenditure incurred on training separately in remarks screen)
J22A_8
Subscription/Fee to paid higher level federations
J22A_9
Expenditure against grants received with specific purpose/release of start-up funds to CLF trainings/exposure/capacity building expenses
J22A_10
VRF released
J22A_11
General loan payment (release of fresh loans to member organisations using the repayments of all loan instalments by member organisations)
J22A_12
CIF loan amount disbursed
J22A_13
CEF loan amount disbursed
J22A_14
PG loan amount disbursed
J22A_15
Other grant/loan amount disbursed
J22A_16
Transfer of refunded grants (eg. transferred to SMMU or to other organisations)
J22A_17
Refunded grants that are not transferred (Eg. Transferred to SMMU or to other organisations)
J22A_18
Fresh advances given (payment of dividends if applicable)
J22A_19
Closing balance as per cash balance
J22A_20
Cash in hand (INR)
J22A_21
Cash in bank (INR)
J22B
Loan loss/write-off bad debts
J22C
Service charges paid to member organizations
J22D
Income received during the said period
J22D_1
Bank Interest received
J22D_2
Penalty collected
J22D_3
Resource fee/ institutional charges received
J22D_4
CIF interest on loans collected from member organizations
J22D_5
CEF interest on loans received
J22D_6
Interests received from loans given from other grants
J22D_7
Recurring subscription fees received from member organizations
J22D_8
Membership fees received from member organizations
J22D_9
Admission/registration fees received from member organizations
J22D_10
Service Fee received
J22D_11
Interest on FD
J22D_12
Other income
J22D_13
Income from other grants
J22D_14
PG loan principal amount received
J22D_15
Interest on PG loans
J22D_16
Recurring grant received from mission for operational expenditure of CLF
J22D_17
Other funds or grants received with specific purpose or directions about its use
J22D_18
General loan receipts (repayment of all loan instalments by member organisations as per loan repayment schedule)
J22D_19
CIF loan principal amount received from member organisations
J22D_20
CEF loan principal amount received
J22D_21
Loan principal amount received from other grants given for onward lending
J22D_22
Refund of unspent grants by member organisations
J22D_23
Refund of advances
J22E
What is the value of the total assets of the CLF? (INR)
J22F
What is the value of total liabilities incurred by the CLF? (INR)
J23
Did the VO demand funds from this CLF in the last 3 months?
Yes
No
J24
If yes, how much funds were demanded by the VOs under this CLF in the last 3 months?
J25
How much funds were disbursed to the VOs against the amount demanded?
J26
What are the reasons for not disbursing the whole amount demanded by the VOs?
J27
How many VOs demanded funds from this CLF in the last 3 months?
J28
How many VOs received the funds from this CLF in last 3 months?
J29
On average, how much time does it take for the CLF to disburse the funds to VO from the date of demanding the funds? (in days)
J30
Did the SHG demand funds from this CLF in the last 3 months?
Yes
No
J31
If yes, how much funds were demanded by the SHGs under this CLF in the last 3 months?
J32
How much funds were disbursed to the SHGs against the amount demanded?
J33
What are the reasons for not disbursing the whole amount demanded by the SHGs?
J34
How many SHGs demanded funds from this CLF in the last 3 months?
J35
How many SHGs received the funds from this CLF in last 3 months?
J36
On average, how much time does it take for the CLF to disburse the funds to SHG from the date of demanding the funds? (in days)
J37
Now I will ask about the loan disbursement and repayment in the last 3 months
J37_1
Total loan amount demanded (in INR)
J37_2
Total loan amount disbursed (in INR)
J37_3
Total loan outstanding (in INR)
J37_4
Expected payment of Principal amount (in INR)
J37_5
Expected payment of Interest amount (in INR)
J37_6
Actual collection of Principal amount (in INR)
J37_7
Actual collection of Interest amount (in INR)
J37_8
Closing Balance (Cash in Hand) (in Rs)
J37_9
Closing Balance (Cash in Bank) (in Rs)
J37_10
Total Amount overdue for more than 30 days (only principal)
J37_11
Total Amount overdue for more than 90 days (only principal)
Cadre Management
K01
Community cadre engaged with the CLF
Community Mobiliser
ICRP-FNHW
Bookkeeper
Bank Sakhi
Pashu Sakhi
Krishi Sakhi
BC Sakhi
Area Coordinator
If other (Specify___)
K02
Number of community cadre
K03
Gender of this community cadre?
Male
Female
K04
Age in years completed
K05
Social category of this community cadre?
General
SC
ST
MBC
OBC
If other (Specify___)
K06
Religion of the community cadre?
Hinduism
Islam
Christianity
Jainism
Sikhism
Buddhism
If other (Specify___)
K07
Education level Of this community cadre?
Primary
Middle
Secondary
Senior secondary
Certificate/ Diploma course
Graduate
Postgraduate
Never attended school
If other (Specify___)
K08
Since when has the community cadre is working?
K09
What are the trainings received by the cadre?
CLF concept and Management
training on CLF Books of Record
training on Banking Procedures (including the opening of a bank account, deposit, withdrawal)
training on group formation
training on Health and Nutrition Modules
If other (Specify___)
No training received
K10
who pays the cadres?
K11
How much monthly payment is made to the cadres?
Social Action and Convergence
L01
Did the cluster face any problems regarding ISSUE?
L01_1
Non-repayment of loans to CLF
Yes
No
L01_2
Conflict within SHG/VO members
Yes
No
L01_3
Identification and mobilization of left-out poor
Yes
No
L01_4
Issues related to bank linkage, bank loan, and CIF repayment
Yes
No
L01_5
Promotion of new SHGs/VO
Yes
No
L01_6
Training identification for Livelihood Promotion /Institution strengthening
Yes
No
L01_7
Poor service by health providers (AWW /ASHA/ ANM)
Yes
No
L01_8
Lack of services/ supplies at PHC/HSC/ Anganwadi
Yes
No
L01_9
Irregularity in VHSND
Yes
No
L01_10
Lack of services/supplies at VHSND
Yes
No
L01_11
Domestic Violence
Yes
No
L01_12
Alcoholism
Yes
No
L01_13
Dowry Issues
Yes
No
L01_14
Child labor
Yes
No
L01_15
Child marriage
Yes
No
L01_16
Discrimination against girl child
Yes
No
L01_17
Discrimination against disadvantaged
Yes
No
L01_18
MGNREGS cards
Yes
No
L01_19
Ration cards/ PDS shop
Yes
No
L01_20
Pensions
Yes
No
L01_21
Housing subsidy
Yes
No
L01_22
Swachh Bharat Mission
Yes
No
L01_23
Illegal liquor business/shop
Yes
No
L01_24
Janani Suraksha Yojana
Yes
No
L01_25
Pradhan Mantri Matru Vandana
Yes
No
L01_26
7 Nikshay Yojna
Yes
No
L01_27
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
Yes
No
L02
Did this CLF take any action against ISSUE?
L02_1
Non-repayment of loans to CLF
Yes
No
L02_2
Conflict within SHG/VO members
Yes
No
L02_3
Identification and mobilization of left-out poor
Yes
No
L02_4
Issues related to bank linkage, bank loan, and CIF repayment
Yes
No
L02_5
Promotion of new SHGs/VO
Yes
No
L02_6
Training identification for Livelihood Promotion /Institution strengthening
Yes
No
L02_7
Poor service by health providers (AWW /ASHA/ ANM)
Yes
No
L02_8
Lack of services/ supplies at PHC/HSC/ Anganwadi
Yes
No
L02_9
Irregularity in VHSND
Yes
No
L02_10
Lack of services/supplies at VHSND
Yes
No
L02_11
Domestic Violence
Yes
No
L02_12
Alcoholism
Yes
No
L02_13
Dowry Issues
Yes
No
L02_14
Child labor
Yes
No
L02_15
Child marriage
Yes
No
L02_16
Discrimination against girl child
Yes
No
L02_17
Discrimination against disadvantaged
Yes
No
L02_18
MGNREGS cards
Yes
No
L02_19
Ration cards/ PDS shop
Yes
No
L02_20
Pensions
Yes
No
L02_21
Housing subsidy
Yes
No
L02_22
Swachh Bharat Mission
Yes
No
L02_23
Illegal liquor business/shop
Yes
No
L02_24
Janani Suraksha Yojana
Yes
No
L02_25
Pradhan Mantri Matru Vandana
Yes
No
L02_26
7 Nikshay Yojna
Yes
No
L02_27
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
Yes
No
L03
Action/ Collective Action taken up
L03_1
Non-repayment of loans to CLF
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_2
Conflict within SHG/VO members
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_3
Identification and mobilization of left-out poor
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_4
Issues related to bank linkage, bank loan, and CIF repayment
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_5
Promotion of new SHGs/VO
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_6
Training identification for Livelihood Promotion /Institution strengthening
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_7
Poor service by health providers (AWW /ASHA/ ANM)
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_8
Lack of services/ supplies at PHC/HSC/ Anganwadi
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_9
Irregularity in VHSND
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_10
Lack of services/supplies at VHSND
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_11
Domestic Violence
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_12
Alcoholism
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_13
Dowry Issues
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_14
Child labor
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_15
Child marriage
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_16
Discrimination against girl child
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_17
Discrimination against disadvantaged
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_18
MGNREGS cards
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_19
Ration cards/ PDS shop
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_20
Pensions
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_21
Housing subsidy
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_22
Swachh Bharat Mission
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_23
Illegal liquor business/shop
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_24
Janani Suraksha Yojana
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_25
Pradhan Mantri Matru Vandana
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_26
7 Nikshay Yojna
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L03_27
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
Counselled the Perpetrator
Initiated police action against the perpetrator
Arranged for temporary stay for the victim
Counseled family members
Arranged for Rehabilitation
Provided financial assistance for rehabilitation
Mobilizing women to take collective actions
If other (Specify___)
L04
Did this CLF collaborate with or seek help from other institutions for this activity?
L04_1
Non-repayment of loans to CLF
Yes
No
L04_2
Conflict within SHG/VO members
Yes
No
L04_3
Identification and mobilization of left-out poor
Yes
No
L04_4
Issues related to bank linkage, bank loan, and CIF repayment
Yes
No
L04_5
Promotion of new SHGs/VO
Yes
No
L04_6
Training identification for Livelihood Promotion /Institution strengthening
Yes
No
L04_7
Poor service by health providers (AWW /ASHA/ ANM)
Yes
No
L04_8
Lack of services/ supplies at PHC/HSC/ Anganwadi
Yes
No
L04_9
Irregularity in VHSND
Yes
No
L04_10
Lack of services/supplies at VHSND
Yes
No
L04_11
Domestic Violence
Yes
No
L04_12
Alcoholism
Yes
No
L04_13
Dowry Issues
Yes
No
L04_14
Child labor
Yes
No
L04_15
Child marriage
Yes
No
L04_16
Discrimination against girl child
Yes
No
L04_17
Discrimination against disadvantaged
Yes
No
L04_18
MGNREGS cards
Yes
No
L04_19
Ration cards/ PDS shop
Yes
No
L04_20
Pensions
Yes
No
L04_21
Housing subsidy
Yes
No
L04_22
Swachh Bharat Mission
Yes
No
L04_23
Illegal liquor business/shop
Yes
No
L04_24
Janani Suraksha Yojana
Yes
No
L04_25
Pradhan Mantri Matru Vandana
Yes
No
L04_26
7 Nikshay Yojna
Yes
No
L04_27
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
Yes
No
L05
If yes, which institutions did this CLF collaborate with or seek help from?
L05_1
Non-repayment of loans to CLF
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_2
Conflict within SHG/VO members
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_3
Identification and mobilization of left-out poor
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_4
Issues related to bank linkage, bank loan, and CIF repayment
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_5
Promotion of new SHGs/VO
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_6
Training identification for Livelihood Promotion /Institution strengthening
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_7
Poor service by health providers (AWW /ASHA/ ANM)
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_8
Lack of services/ supplies at PHC/HSC/ Anganwadi
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_9
Irregularity in VHSND
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_10
Lack of services/supplies at VHSND
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_11
Domestic Violence
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_12
Alcoholism
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_13
Dowry Issues
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_14
Child labor
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_15
Child marriage
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_16
Discrimination against girl child
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_17
Discrimination against disadvantaged
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_18
MGNREGS cards
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_19
Ration cards/ PDS shop
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_20
Pensions
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_21
Housing subsidy
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_22
Swachh Bharat Mission
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_23
Illegal liquor business/shop
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_24
Janani Suraksha Yojana
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_25
Pradhan Mantri Matru Vandana
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_26
7 Nikshay Yojna
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L05_27
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
Gram Panchayat
Police
Banks
Block office of SRLM
NGOs
Member VOs
L06
Result
L06_1
Non-repayment of loans to CLF
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_2
Conflict within SHG/VO members
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_3
Identification and mobilization of left-out poor
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_4
Issues related to bank linkage, bank loan, and CIF repayment
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_5
Promotion of new SHGs/VO
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_6
Training identification for Livelihood Promotion /Institution strengthening
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_7
Poor service by health providers (AWW /ASHA/ ANM)
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_8
Lack of services/ supplies at PHC/HSC/ Anganwadi
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_9
Irregularity in VHSND
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_10
Lack of services/supplies at VHSND
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_11
Domestic Violence
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_12
Alcoholism
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_13
Dowry Issues
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_14
Child labor
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_15
Child marriage
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_16
Discrimination against girl child
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_17
Discrimination against disadvantaged
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_18
MGNREGS cards
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_19
Ration cards/ PDS shop
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_20
Pensions
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_21
Housing subsidy
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_22
Swachh Bharat Mission
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_23
Illegal liquor business/shop
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_24
Janani Suraksha Yojana
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_25
Pradhan Mantri Matru Vandana
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_26
7 Nikshay Yojna
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
L06_27
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
Problem was completely resolved
Problem was partially resolved
Problem was not resolved
Role of CLF in Promoting Livelihoods
M01
Does your CLF promote livelihood activities among its members?
Yes
No
M02
Which livelihood activities does your CLF promote among its members?
Farm based livelihood
Bee Keeping
RRM
DKR
OSC
Art & Craft
Milk production
Goatery
Poultry
Tailoring
If other (Specify___)
M03
What kind of support does CLF provide to its member household?
Create awareness
Capacity building through trainings
Providing funds to start a business
Helping in terms of providing
Continuous monitoring of their performance
If other (Specify___)
M04
How does CLF decide on which livelihood activity a member household will work?
Based on the requirement of a member household
Discussion in CLF meeting
Assessing the skill set of members
Based on funds and resources available
If other (Specify___)
M05
Have your CLF conducted trainings to build the capacity of member households for livelihood activities?
Yes
No
M06
Does your CLF provide financial assistance for taking up livelihood activity?
Yes
No
M07
What agendas were discussed in CLF meetings?
M08
Does CLF provide VGF to member VO and SHGs to carry out livelihood activities?
Yes
No
M09
What are the criteria for the distribution of VGF to member SHGs?
Percentage of attendance in EC meeting in last 6 months
On-time repayment history
Idle funds in the last three months
Audit completed
Leadership rotation (at least 2 OB changes in 3 years)
History of CIF utilization for productive purposes
If others, please specify
Not applicable
M10
Does this CLF engage CRPs in farm livelihood activities?
Yes
No
M11
Does this CLF provide an Honorarium to the CRPs for their service?
Yes
No
M12
Does CLF review the work done by the CRPs?
Yes
No
M13
How frequently are these review meetings conducted?
Monthly
Quarterly
Bi-annually
Annually
M14
What are the activities of CRPs reviewed in these meetings?
Meeting with the key person of the village
Conduct meetings with SHGs
Forming groups of leftover groups
Providing farm trainings to SHGs
Enable SHGs for maintaining records
M15
Does this CLF maintain a record of households engaged in farm livelihood activities?
Yes
No
M16
How many households practice multiple livelihood options under this CLF?
M17
How many PG/ PC are financially supported by releasing funds by the CLF over the last financial year?
M18
On average, what is the repayment status of the funds released to the PGs?
M19
What is the total number of SHG members of this CLF who are associated with these PGs?
M20
How many PGs are planned for next year?
M21
How much investment was made to generate livelihood opportunities?
M22
If Yes, Please specify the reason
M23
How many SHG members under this M-CLF have taken loans of more than INR 30,000 for starting/engaging in livelihood activities?
M24
How many SHG members under this M-CLF have a kitchen garden?
M25
How many SHG members under this M-CLF have started attending gram sabha in their village?
M26
What all facilities were accessible to member households in farm livelihoods?
M27
Has the CLF ever transacted through the BC channel?
Yes
No
M28
How many SHG members under this CLF has a bank account?
M29
How many SHG members under this CLF have started their transactions through BC Sakhi Channel?
Business viability of CLF
N01
Has this CLF prepared a business development plan?
Yes
No
N02
Does the CLF have dedicated professionals to prepare a business development plan?
Yes
No
N03
Has this M-CLF reviewed the Business Development Plan based on its progress and made changes?
Yes
No
N04
If yes, what have been the changes made in the BDP by this M-CLF?
N05
Has this CLF been able to develop a community-managed training center?
Yes
No
N06
Has this CLF been able to charge training center usage fees to generate additional revenue?
Yes
No
N07
What is the total revenue amount through the training center that this CLF has raised over the last Financial Year 2021-22?
N08
Does the CLF have an operational manual for running the training centre?
Yes
No
N09
If yes, what does this CLF follow the guidelines in running he training centre?
Linkages/Partnerships
O01
Are there any designated CLF members, who is supposed to participate in Village Health, Sanitation, and Nutrition Days (VHSND)?
Yes
No
O02
How many members from this CLF usually participate in the VHSND?
O03
Are there any designated CLF members, who is supposed to participate during the Gram Sabha meetings?
Yes
No
O04
How many members from this CLF usually participate in the Gram Sabha members?
O05
How many visits have ASHA, ANM, and AWW staff made in the last year to generate awareness on (health and nutrition) H&N during CLF meetings?
O06
Does this CLF have a Gram Panchayat Poverty Reduction Plan (GPPRP)?
Yes
No
O07
Have Participatory Assessment of Entitlements (PAE) exercises been conducted to facilitate CLF-level discussions on entitlements and identify CLF members deprived of entitlements due to them the schemes of MGNREGS, Swachh Bharat Mission, National Social Assistance Program (NSAP), and ICDS?
Yes
No
O08
How many have SHG members under this CLF taken the insurance/pension scheme?
O08_1
Pradhan Mantri Jeevan Jyoti Bima Yojana(PMJJBY)
O08_2
Pradhan Mantri Suraksha Bima Yojana(PMSBY)
O08_3
Life Cover under Pradhan Mantri Jan Dhan Yojana (PMJDY)
O08_4
Varishtha Pension Bima Yojana
O08_5
Pradhan Mantri Fasal Bima Yojana(PMFBY)
O08_6
Pradhan Mantri Vaya Vandana Yojana(PMVVY)
O08_7
Restructured Weather Based Crop Insurance Scheme (RWBCIS)
O08_8
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
O08_9
Atal Pension Yojana
O09
Claims from how many SHG members have been made so far?
O09_1
Pradhan Mantri Jeevan Jyoti Bima Yojana(PMJJBY)
O09_2
Pradhan Mantri Suraksha Bima Yojana(PMSBY)
O09_3
Life Cover under Pradhan Mantri Jan Dhan Yojana (PMJDY)
O09_4
Varishtha Pension Bima Yojana
O09_5
Pradhan Mantri Fasal Bima Yojana(PMFBY)
O09_6
Pradhan Mantri Vaya Vandana Yojana(PMVVY)
O09_7
Restructured Weather Based Crop Insurance Scheme (RWBCIS)
O09_8
Pradhan Mantri Jan Aarogya Yojana/ Ayushman Bharat
O09_9
Atal Pension Yojana
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