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Vo Template 2 -Form Fill
Identification Information
Q01
State code
Q02
State name
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Q07
Village Name
Q08
Village Code
Q09
VO Name
Q10
VO Code
Q11
Type of sample
New
Old
Survey Information
A01
Name of the respondents
A02
Designation of the respondent
President
Vice-President
Secretary
Treasurer
Bookkeeper
Others (specify)
A03
Respondent’s phone number
A04
Respondent identification code
A05
FIRST VISIT
A05_1
Interviewer name
A05_2
Interviewed code
A05_3
Date of the interview
A05_4
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)
A05_5
Record time when you start the interview
A05_6
Record time when you end the interview
A06
SECOND VISIT
A06_1
Interviewer name
A06_2
Interviewed code
A06_3
Date of the interview
A06_4
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)
A06_5
Record time when you start the interview
A06_6
Record time when you end the interview
A07
THIRD VISIT
A07_1
Interviewer name
A07_2
Interviewed code
A07_3
Date of the interview
A07_4
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)
A07_5
Record time when you start the interview
A07_6
Record time when you end the interview
VO Information
B01
What is the name of this VO?
B02
What is the date of formation of this VO?
B03
What is the total number of SHGs that are part of this VO
B04
Number of SHG members covered by VO.
B05
How many SHGs had Joined after the formation of VO?
B06
How many SHGs had been dropped out of the formation of VO?
B07
Reason for dropping out?
self
removed
B07A
Elaborate the reason
B08
How many New SHGs are eligible to join the VO?
B09
Please give the number of SHGs joined after Aug 2022 till the date of survey
B10
Does the VO charge membership fee by member SHGs?
Yes
No
B11
What is the membership fee paid by member SHGs?
B12
What is the yearly membership renewal fee paid by member SHGs? (If any, put zero if no renewal fee is charged)
B13
Number of SHGs who had not submitted membership/renewal fee? (Put zero if no such SHG)
B14
Does the CLF review the VOs accounts ?
Yes
No
B15
If yes what is the frequency of review
Annually
Quarterly
Half-yearly
No determined frequency
B16
When was the review done last time ?
B17
What has been the primary function of this VO?
SHG mobilization
Livelihood promotion
Financial assistance to SHGs
Intermediary M-CLF and SHGs
Spread awareness about
insurance schemes/ implement other programs
Others, specify
Leadership
C01
How many members are there in the VO-
C02
How many belong to SC/ST?
C03
How many are from PVTG? (Note : Take an approximate number if not exact)-
C04
Do you have bye-laws/guidelines?
Yes , verified
yes, not verified
No
Don’t know
Yes , verified
yes, not verified
No
Don’t know
C05
Why does not this VO has a bye-laws/guidelines?
C06
Does the VO rotate its OBs?
Yes
No
C07
Why has not the VO rotated OBs yet?
C08
Are all the OBs rotated?
Yes
No
C09
What is the interval for rotation?
C10
Name of the office bearer
C11
Age of this office bearer
C12
Social category of this office bearer
SC
ST
OBC
Extreme Backward Class
General
Others
C13
Position currently held by this office bearer
President
Vice President
Secretary
Treasurer
Joint secretary
C14
For how many terms can one hold this position?
C15
Is the current position a paid position?
Yes
No
C16
Education level of this office bearer
Primary
Middle
Secondary
Senior secondary
Certificate/ Diploma course
Graduate
Postgraduate
Others, specify
Never attended school
C17
Type of ration card the office bearer has.
APL
BPL
AAY
Do not have a ration card
C18
Did the office bearers receive trainings ?
Yes
No
C19
How many OBs received training ?
C20
On what topics OBs have received training?
C20_1
VO concept and management
Yes
No
C20_2
Leadership training
Yes
No
C20_3
Training on books of account
Yes
No
C20_4
Financial management of VO
Yes
No
C20_5
Cadre selection and management
Yes
No
C20_6
Convergence
Yes
No
C20_7
Livelihood training
Yes
No
C20_8
Gender Training
Yes
No
C20_9
PRI roles and responsibilities
Yes
No
C20_10
FNHW training
Yes
No
C20_11
Village Poverty Reduction Plan
Yes
No
C21
Does OBs need refresher trainings?
Yes
No
C22
On what topics refresher training is required?
VO concept and management
Leadership training
Training on books of account
Financial management of VO
Cadre selection and management
Convergence
Livelihood training
Gender Training
PRI roles and responsibilities
FNHW training
Village Poverty Reduction Plan
C23
Is there any mechanism to provide training to new office bearers?
Yes
No
C24
Please select the topics for which the trainings have been received
C24_1
VO concept and management
Yes
No
C24_2
Leadership training
Yes
No
C24_3
Training on books of accounts
Yes
No
C24_4
Financial management of VO
Yes
No
C24_5
Cadre selection and management
Yes
No
C24_6
Convergence
Yes
No
C24_7
Livelihood training
Yes
No
C24_8
Gender training
Yes
No
C24_9
PRI roles and responsibilities training
Yes
No
C24_10
FNHW training
Yes
No
Governing Body/ Executive Committee (EC) and General Body (GB)
D01
What is the norm for conducting GB meetings of this VO?
Biannually
Annually
D02
Provide details of last 3 General Body Meetings
D02A
Meeting 1
D02A_1
Did it conduct ?
Yes
No
D02A_2
date
D02A_3
No. of Members present.
D02B
Meeting 2
D02B_1
Did it conduct ?
Yes
No
D02B_2
date
D02B_3
No. of Members present.
D02C
Meeting 3
D02C_1
Did it conduct ?
Yes
No
D02C_2
date
D02C_3
No. of Members present.
D03
How many SHGs had not participated in each of the last two GB meetings?
D04
When was the present Executive Committee (EC) of the VO constituted?
D05
What is the norm for conducting EC meetings of this VO?
Fortnightly
Monthly
Quarterly
D06
How many EC members are currently elected ?
D07
How many EC meetings were held in the last 12 months? (2022)
D08
Provide details of last 3 meetings of Executive Committee
D08A
Meeting 1
D09A_1
Did it conduct ?
Yes
No
D09A_2
date
D09A_3
No. of Members present.
D08B
Meeting 2
D08B_1
Did it conduct ?
Yes
No
D08B_2
date
D08B_3
No. of Members present.
D08C
Meeting 3
D08C_1
Did it conduct ?
Yes
No
D08C_2
date
D08C_3
No. of Members present.
D09
Why were the meetings not held?
Lack of required quorum for the meeting
There was a function (marriage, festival etc.) in the village
Meetings were suspended due to CORONA (COVID-19)
Others (specify)
D10
How many EC members were absent in each of the last three consecutive meetings?
D11
No. of SHGs and no. of meetings failed to attend meetings consecutively.
D11A
Meeting 1
D11A_1
No. of SHG
D11A_2
No. of meetings
D11B
Meeting 2
D11B_1
No. of SHG
D11B_2
No. of meetings
D11C
Meeting 3
D11C_1
No. of SHG
D11C_2
No. of meetings
D12
Does the VO levy penalty if EC members are absent?
Yes
No
D13
What was the penalty levied if any of the EC members did not attend the EC meeting? (Note : Ask the amount levied per meeting, per member)
D14
How many meetings did Community Mobilizer had attended in the last 6 months? (Oct 23- March 24)
D15
How many meetings are attended by project staff in the last 6 months? (Oct 23- March 24)
D16
What are the major topics discussed in the EC meetings ?
D16_1
Meeting 1
Issues related to savings & loan
Maintenance of records
disbursement of CIF
Schedule and loan repayment terms
Promotion of livelihood activities
Identification of training topics for SHGs
Monthly Progress report of SHGs
Upliftment of poor/ defunct SHGs
Performance and promotion of PGs
issues related to VHSND
quality of services provided by ASHA/AWW/ANM
Sanitation issues
Convergence with welfare schemes
Gender issues
Social issues
Others (Specify)
D16_2
Meeting 2
Issues related to savings & loan
Maintenance of records
disbursement of CIF
Schedule and loan repayment terms
Promotion of livelihood activities
Identification of training topics for SHGs
Monthly Progress report of SHGs
Upliftment of poor/ defunct SHGs
Performance and promotion of PGs
issues related to VHSND
quality of services provided by ASHA/AWW/ANM
Sanitation issues
Convergence with welfare schemes
Gender issues
Social issues
Others (Specify)
D16_3
Meeting 3
Issues related to savings & loan
Maintenance of records
disbursement of CIF
Schedule and loan repayment terms
Promotion of livelihood activities
Identification of training topics for SHGs
Monthly Progress report of SHGs
Upliftment of poor/ defunct SHGs
Performance and promotion of PGs
issues related to VHSND
quality of services provided by ASHA/AWW/ANM
Sanitation issues
Convergence with welfare schemes
Gender issues
Social issues
Others (Specify)
D16_4
Meeting 4
Issues related to savings & loan
Maintenance of records
disbursement of CIF
Schedule and loan repayment terms
Promotion of livelihood activities
Identification of training topics for SHGs
Monthly Progress report of SHGs
Upliftment of poor/ defunct SHGs
Performance and promotion of PGs
issues related to VHSND
quality of services provided by ASHA/AWW/ANM
Sanitation issues
Convergence with welfare schemes
Gender issues
Social issues
Others (Specify)
D17
Has the VO observed any change in its functioning because of the presence of M-CLF?
Yes
No
D18
If yes, can you tell briefly what are the areas that you have felt the difference?
Fund availability
Better monitoring
Improvised livelihood activities
Improvised SHGs households
Better assistance with issues
Others , specify
D19
Has the VO received adequate support from the M-CLF?
Yes
No
D20
If yes, what kind of support has been catered to the VO?
D21
Has the VO formed different sub-committees for managing various roles and responsibilities of the VO?
Yes
No
D22
COMMITTEE TYPE
D22_1
Social Action Committee
Yes
No
D22_2
Livelihood committee
Yes
No
D22_3
Monitoring Committee
Yes
No
D22_4
Asset Verification Committee
Yes
No
D22_5
Bank Linkage Committee
Yes
No
D23
When was this committee formed?
D23_1
Social Action Committee
D23_2
Livelihood committee
D23_3
Monitoring Committee
D23_4
Asset Verification Committee
D23_5
Bank Linkage Committee
D24
How many times did this committee meet in the last 12 months?(April 2023- March 2023)
D24_1
Social Action Committee
D24_2
Livelihood committee
D24_3
Monitoring Committee
D24_4
Asset Verification Committee
D24_5
Bank Linkage Committee
D25
Key roles and responsibilities of the committee
D25_1
Social Action Committee
D25_2
Livelihood committee
D25_3
Monitoring Committee
D25_4
Asset Verification Committee
D25_5
Bank Linkage Committee
D26
What are the trainings received by this committee to perform its duties?
D26_1
Social Action Committee
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 SHG work
microcredit
loan need identification
fund management
bookkeeping
bank linkage and operations
grading of SHGs
Exposer visit
conflict management
Others (specify)
D26_2
Livelihood committee
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 SHG work
microcredit
loan need identification
fund management
bookkeeping
bank linkage and operations
grading of SHGs
Exposer visit
conflict management
Others (specify)
D26_3
Monitoring Committee
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 SHG work
microcredit
loan need identification
fund management
bookkeeping
bank linkage and operations
grading of SHGs
Exposer visit
conflict management
Others (specify)
D26_4
Asset Verification Committee
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 SHG work
microcredit
loan need identification
fund management
bookkeeping
bank linkage and operations
grading of SHGs
Exposer visit
conflict management
Others (specify)
D26_5
Bank Linkage Committee
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 SHG work
microcredit
loan need identification
fund management
bookkeeping
bank linkage and operations
grading of SHGs
Exposer visit
conflict management
Others (specify)
D27
How would you rate the effectiveness of this committee?
D27_1
Social Action Committee
Can’t say/not willing to respond
not effective
moderately effective
effective
very effective
D27_2
Livelihood committee
Can’t say/not willing to respond
not effective
moderately effective
effective
very effective
D27_3
Monitoring Committee
Can’t say/not willing to respond
not effective
moderately effective
effective
very effective
D27_4
Asset Verification Committee
Can’t say/not willing to respond
not effective
moderately effective
effective
very effective
D27_5
Bank Linkage Committee
Can’t say/not willing to respond
not effective
moderately effective
effective
very effective
D28
Was the AGM conducted in this VO?
D28A
2022-23
Yes
No
D28B
2023-24
Yes
No
D29
Was the notice for AGBM served to all the members?
Yes
No
D30
Was it displayed in Notice Board of VO’s office?
Yes
No
D31
Has the attendance of members been recorded?
Yes
No
D32
Have the minutes of meeting been captured and signed by the Chairperson?
Yes
No
D33
Whether the following issues discussed during the last AGM meetings?
D33_1
Financial status of VO and Repayment from SHGs
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_2
Monthly Progress Report and Grading of the SHGs
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_3
Status and Promotion of PGs
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_4
Identification of Defaulter SHG or SHG at risk of default
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_5
Action plan for loan recovery
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_6
Identification of most poor families in the village
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_7
Identification of training and financial help to sustain/promote livelihood activities
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_8
Performance of Community cadre i.e., CM, bookkeeper, BS/BC etc.
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_9
Health and nutrition-related issues – the importance of balanced diet, child and maternal health, health services in the village
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_10
Sanitation related issues- the importance of cleanliness, sanitation practices, availability of clean drinking water, construction of toilets etc.
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_11
Education in the village- school enrolment, availability of the teaching staff etc.
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_12
Involvement in Panchayati Raj Institutions – Participation in Gram Sabha (General)
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_13
Active Participation in Government Schemes- by facilitating members to access Govt. Welfare/ Development Schemes/Programs (e.g., MGNREGS, PDS, etc.
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_14
Discussion on last month meeting minutes
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_15
Discussion on Household Livelihoods
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_16
Gender Issues
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
D33_17
Social issues
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
No
Review and Monitoring
E01
How often does the VO review the activities of the member SHGs?
Weekly
Fortnightly
Monthly
Once in two months
No predetermined frequency
Never reviewed
Others (specify)
E02
What SHG activities are reviewed by the VO?
Books of records
Micro credit plan
Utilization of the CIF
Monthly Progress Report
Implementation of Social Activities
Grievances between SHGs / VO members
Complaint / Grievance against community cadre
Others (specify)
E03
How many SHGs have been graded by the VO?
E04
What is the frequency of grading conducted by VO?
Monthly
Quarterly
Bi-annually
Annually
E05
How many SHGs linked with this VO are in the graded category as used by CLF to grade the associated SHGs?
E05_1
Grade A
E05_2
Grade B
E05_3
Grade C
E05_4
Grade D
E06
Why the other SHGs are not graded by the VO?
E07
What is the reason for SHGs being graded D according to you?
Poor repayment
Irregular meetings
BORs not maintained
No interlending of loans
Irregular savings
MCP not prepared
E08
What is being done for SHGs which are performing poorly?
We counsel them/discuss with them
Sensitize them about grading
Monitor them regularly
Handhholding support is provided
Others
E09
What kind of support does this VO provide to the member SHGs?
Providing handholding support in maintenance of records
Providing loans against the demand
Providing information on flagship government schemes
Helping in establishing group-level livelihood activity
Facilitating market linkage
Promotion of village-level producer groups
Training support to SHG members to start new livelihood exercises
Support in preparation of Micro Credit Plan (MCP)
Others (specify)
E10
Did VO had conducted Training for SHGs?
Yes
No
E11
What training did VO had provided to the SHGs? please specify the number of SHGs that were given the training
E11_1
Panch Sutra
Yes
No
E11_2
Micro Credit
Yes
No
E11_3
Bookkeeping
Yes
No
E11_4
Concept of VO
Yes
No
E11_5
Conflict Management
Yes
No
E11_6
Livelihood Promotion
Yes
No
E11A
please specify the number of SHGs that were given the training
E11A_1
Panch Sutra
E11A_2
Micro Credit
E11A_3
Bookkeeping
E11A_4
Concept of VO
E11A_5
Conflict Management
E11A_6
Livelihood Promotion
E12
Who all are supported in training ?
Community cadre
Project staff
Block level staff
M-CLF
E13
No of the groups started livelihood activities? (Note: Ask approx if not exact)
E14
Types of Activities
Farm –Crop , livestock production
Off-farm- Except crop and livestock production- value chain perspective
Non -farm – manufacturing, handicraft, stall, store
E15
Has the VO started any new initiatives ?
Yes
No
E16
If yes, what are the initiatives that have been undertaken by VO?
E17
What has been the impact of the initiatives and how has it helped the members?
E18
Please let us know if there has been any innovative measures taken up by the VO?
E19
Which of the following staff are working on VO payroll? (Multiple response)
None
Accountant
MIS coordinator
Sweeper/cleaning staff
Other’s Specify
E20
Can you tell us a description of the roles and responsibilities of the staff?
Maintenance of Records
F01
Whether the record is introduced in the VO?
F01_1
Membership Register
Yes
No
F01_2
Meetings Register
Yes
No
F01_3
Minutes Book
Yes
No
F01_4
Savings Register
Yes
No
F01_5
General Ledger
Yes
No
F01_6
Daily Expenses Register
Yes
No
F01_7
Cash Book
Yes
No
F01_8
Loan Register
Yes
No
F01_9
Receipt Book
Yes
No
F01_10
Voucher Book
Yes
No
F01_11
Stock register
Yes
No
F01_12
Financial statements
Yes
No
F01_13
VO Passbook
Yes
No
F01_14
Cheque Issue Register
Yes
No
F01_15
VO DCB Register
Yes
No
F02
Please record the date last updated
F02_1
Membership Register
F02_2
Meetings Register
F02_3
Minutes Book
F02_4
Savings Register
F02_5
General Ledger
F02_6
Daily Expenses Register
F02_7
Cash Book
F02_8
Loan Register
F02_9
Receipt Book
F02_10
Voucher Book
F02_11
Stock register
F02_12
Financial statements
F02_13
VO Passbook
F02_14
Cheque Issue Register
F02_15
VO DCB Register
Financial Management
G01
Did you receive the fund?
Yes
No
G02
Total fund received.
G03
Last time received.
G04
Total SHGs that took loan.
G05
Amount disbursed.
G06
Amount repaid.
G07
Amount repaid by VOs to higher federation.
G08
Name of the SHG that are part of the VO
G09
No of times the SHG has received loan from VO
G10
Total loan amount received from VO (Amount)
G11
Last loan received from VO (Amount)
G12
Date on which last loan received
G13
Duration for which the loan was taken
G14
Loan outstanding amount as on March 31st 2023.
G15
How many tranches of VRF have you received till now
First
Second
None
G16
Have the SHGs under your ambit received the CIF?
Yes
No
G17
If yes, please give the number of SHGs that received CIF
G18
Total Loan is given by VO Corpus Fund (VRF)from Jan 2024-March 2024
G19
Total repayment on the VO Corpus fund (VRF)from Jan 2024-March 2024
G20
Total loan outstanding of CLF loan on VO from Jan 2024-March 2024
G21
Interest charged by CLF on loans to VO
G22
Total Outstanding of VO loan on SHG Jan 2024-March 2024
G23
Interest charged by VO on loans to SHGs
G24
Cash in Bank Jan 2024-March 2024
G25
Total number of SHG defaulted the VO loan (CIF/ VRF)
G26
Total No of SHG with the potential of loan default/week repayment ratio
G27
What action was taken by the VO against loan defaulter SHGs?
Financial penalty
Taking over SHG savings
Refusal of provision of new loans until the old one is repaid
Others (Specify)
G28
Has the VO received any interest-free loan from CLF in the last three months? (Jan 2024-March 2024)
Yes
No
G29
Has the VO funded any interest-free loan to any SHG in the last three months? (Jan 2024-March 2024)
Yes
No
G30
How many SHGs have accessed interest free loans from your VO in the last three months? (Jan 2024-March 2024)
G31
Number of SHG had raised the demand for a loan last three month (Jan 2024-March 2024)
G32
Number of loan Demands accepted by VO for last three months (Jan 2024-March 2024)
G33
If there were any rejections, please elaborate the reasons
G34
Total loan of demand raised by VO to CLF in last three months (Amount) (Jan 2024-March 2024)
G35
Total Loan received by VO in last three months (Amount) (Jan 2024-March 2024)
G36
Amount due from SHGs in the last three months (Jan 2024-March 2024)
G37
Amount collected from SHGs in the last three months (Jan 2024-March 2024)
G38
Note the Demand Collection Balance (DCB) from the bookkeeper. (Jan 2024-March 2024)
G39
What is the expenditure incurred by the VO under the following heads?
G39_1
Payment of staff (cadre)
G39_2
Training expenses (Amount for trainings if any conducted in this timeline)
G39_3
Purchase of fixed assets (ag. Purchase/ Construction of VO office - furniture, almirah etc.)
G39_4
Miscellaneous expenses (e.g. Printing of brochures, purchase of stationery etc.)
G40
What is the amount received by the VO under the following heads?
G40_1
Membership fees (subscription fee) deposited by SHGs (Total)
G40_2
Interest received on loans
G41
Total profit/surplus accumulated by the VO
G42
Opening balance
G43
Closing balance
G44
Particulars
G44A
FY 2021-22 (INR)
G44A_1
Net savings
G44A_2
Fixed deposits made by VO
G44A_3
CIF outstanding
G44A_4
CEF outstanding
G44A_5
PG loan outstanding
G44A_6
Other loans outstanding (loans given from other grants
G44A_7
Net profit or loss
G44A_8
Cash in hand
G44A_9
Cash at bank
G44B
FY 2022-23 (INR)
G44B_1
Net savings
G44B_2
Fixed deposits made by VO
G44B_3
CIF outstanding
G44B_4
CEF outstanding
G44B_5
PG loan outstanding
G44B_6
Other loans outstanding (loans given from other grants
G44B_7
Net profit or loss
G44B_8
Cash in hand
G44B_9
Cash at bank
G44C
FY 2023-24 (INR)
G44C_1
Net savings
G44C_2
Fixed deposits made by VO
G44C_3
CIF outstanding
G44C_4
CEF outstanding
G44C_5
PG loan outstanding
G44C_6
Other loans outstanding (loans given from other grants
G44C_7
Net profit or loss
G44C_8
Cash in hand
G44C_9
Cash at bank
G45
Expenditure (recurring) including statement of advances during the year
G45A
FY 2021-22 (INR)
G45A_1
Remuneration to VO staff
G45A_2
Office rent, water, electricity, telephone, communication, internet, etc.
G45A_3
Stationary purchased
G45A_4
Travel expenses
G45A_5
Bank/ commission charges
G45A_6
Other expenditures (if available mention expenditure incurred on training separately in remarks screen)
G45A_7
Subscription/Fee to paid higher level federations
G45B
FY 2022-23 (INR)
G45B_1
Remuneration to VO staff
G45B_2
Office rent, water, electricity, telephone, communication, internet, etc.
G45B_3
Stationary purchased
G45B_4
Travel expenses
G45B_5
Bank/ commission charges
G45B_6
Other expenditures (if available mention expenditure incurred on training separately in remarks screen)
G45B_7
Subscription/Fee to paid higher level federations
G45C
FY 2023-24 (INR)
G45C_1
Remuneration to VO staff
G45C_2
Office rent, water, electricity, telephone, communication, internet, etc.
G45C_3
Stationary purchased
G45C_4
Travel expenses
G45C_5
Bank/ commission charges
G45C_6
Other expenditures (if available mention expenditure incurred on training separately in remarks screen)
G45C_7
Subscription/Fee to paid higher level federations
G46
Loan loss/ write off bad debts
G47
Service charges paid to member organizations
G48
Total expenditure
G49
Excess of income over expenditure (if income is more than expenditure) is the balance figure
G50
Income receipts during the said period
G50_1
Bank Interest received
G50_2
Penalty collected
G50_3
Resource fee/ institutional charges received
G50_4
CIF interest on loans collected from member organizations
G50_5
CEF interest on loans received
G50_6
Interests received from loans given from other grants
G50_7
Recurring subscription fee received from member organizations
G50_8
Membership fee received from member organizations
G50_9
Admission/registration fees received from member organizations
G50_10
Service Fee received
G50_11
Other income
G50_12
Income from other grants
G51
Total income
G52
Excess of expenditure over income (if expenditure is more than income) is the balancing figure
G53
Total loan amount demanded (in INR)
G53_1
Month 1
G53_2
Month 2
G53_3
Month 3
G54
Total loan amount disbursed (in INR)
G54_1
Month 1
G54_2
Month 2
G54_3
Month 3
G55
Total loan outstanding (in INR)
G55_1
Month 1
G55_2
Month 2
G55_3
Month 3
G56
Expected payment of Principal amount (in INR)
G56_1
Month 1
G56_2
Month 2
G56_3
Month 3
G57
Expected payment of Interest amount (in INR)
G57_1
Month 1
G57_2
Month 2
G57_3
Month 3
G58
Actual collection of Principal amount (in INR)
G58_1
Month 1
G58_2
Month 2
G58_3
Month 3
G59
Actual collection of Interest amount (in INR)
G59_1
Month 1
G59_2
Month 2
G59_3
Month 3
G60
Closing Balance (Cash in Hand) (in Rs)
G60_1
Month 1
G60_2
Month 2
G60_3
Month 3
G61
Closing Balance (Cash in Bank) (in Rs)
G61_1
Month 1
G61_2
Month 2
G61_3
Month 3
G62
Total Amount overdue for more than 30 days (only principal)
G62_1
Month 1
G62_2
Month 2
G62_3
Month 3
G63
Total Amount overdue for more than 90 days (only principal)
G63_1
Month 1
G63_2
Month 2
G63_3
Month 3
Custom Hiring Centres
H01
Is there a functional CHC in your area?
Yes
No
H02
How many farmers are members of the CHC?
10 – 20
20 – 50
50 – 100
Other
Don’t Know
H03
Is there a membership fee to join the CHC?
Yes
No
H04
If yes, what is the membership fee? (INR) (mention unit also)
H05
What are the services and activities conducted in your CHC
Rents out agricultural equipment
Stores soil testing kit
Stores small refrigerator for livestock vaccinations
Composting activities – NADEP/Compost Pit/Vermi Compost/Other bio-fertilizers
Plastic waste management like shredding/pressing
Other
Don’t Know
H06
Who all are eligible to avail the CHC services?
Only SHG members
SHG and Non SHG members
Don’t Know
H07
Have the CHC services be of help to you and other farmers in your area?
Yes
No
H08
If yes, how has the CHC services been of help?
Reduced farm drudgery
Reduced production cost
Makes equipment timely available
Helps in increasing production yield
Increases farmer efficiency, saves time
Other
H09
Are there certain farmers who are eligible but not opting for CHC services?
Yes
No
H10
If yes, are there any barriers that disable them from taking advantage of CHC services?
H11
What is the potential area under cultivation where the CHC can rent out the implements?
H12
What is the total area serviced by this CHC?
Area under the VO
One village
More than a Village
Others specify
H13
Which operations can be performed using the equipment available in the CHC?
Sowing
Intercultural Operation
Sowing
Irrigation
Spraying
Post Harvest
H14
What are the various kinds of machinery available at the CHC?
Tractor
Power Tiller
Multi-crop power thresher
Winnower
Self-propelled reaper vi. Sprayer
Repairing tools
Trailer
Mould Board Plough
Cultivator
Cage Wheel
Disc harrow
Seed drill
Transplanter
Sprayer – manual
Sprayer – powered
Other
Don’t Know
H15
Did anyone from SRLM/project team ever take your suggestion on what kind of agricultural equipment to store in the CHC?
Yes
No
H16
On a scale of 1-5 how much do you agree to the statement that the CHC has the machinery for the crops commonly grown in the village?
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
H17
On a scale of 1-5, how much do you agree to the statement that the CHC has the machinery timely available when needed?
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
H18
On a scale of 1-5, how much do you agree to the statement that the CHC has the machinery which is user friendly? (i.e. easily movable, easy to handle)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
H19
On a scale of 1-5, how much do you agree with the statement that the CHC have machinery which is well maintained and well lubricated? Please rate on a scale of 1 – 5
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
H20
How are the machinery priced vis-à-vis the market rates?
Above market rental
Below market rental
Equal to market rental
Don’t Know
H21
Benefits CHCs have been giving
The CHC has the machinery timely available when needed
The CHC has the machinery which is user friendly
the CHC have machinery which is well maintained and well lubricated
H22
Who owns the CHC?
CLF
VO Livelihood Subcommittee
Others
Don’t Know
H23
Who manages the day-to-day operations of the CHC?
Community CRP (Krishi Sakhi/PashuSakhi)
Other
Don’t Know
H24
What are the day to day tasks performed by the CRP?
Maintain Book of Records
Submit net revenues to VO Livelihood sub-committee
Raise grievances on complaints registered in CRP
Gain approval from VO on the repair/replacement of equipment
Present performance of CHC in front of VO each month
Repair and maintenance of equipment
Issue equipment of first come first serve basis
Others
Don’t Know
H25
What are the BORs maintained by the CRP at the CHC?
Rules and Statutes of CHC
Asset Registers
Cash book and Ledger
Suggestions/Complaints Register
Equipment Requisition Register
Availability, Booking and Movement Register (Equipment Wise)
Other
H26
Does the CRP receive an honorarium?
Yes
No
H27
What is the monthly/yearly honorarium of the CRP?
Yes
No
H28
Does the CRP/ VO livelihood sub-committee members receive trainings to run the CHC?
H29
Were you able to attend the trainings conducted?
Yes
No
H30
What all was covered in the trainings?
DAY NRLM
History of CHC/Relevance
Setting up CHC/Norms to run CHC
Introduction to various equipment
Equipment Maintenance and Repair
Operating Various equipment
Record Keeping
Financial literacy
Exposure Visits
Other
Don’t Know
H31
At what frequency are these trainings conducted?
Fortnightly
Monthly
Quarterly
Biannually
Yearly
Other
Don’t Know
H32
On a scale of 1-5, how satisfied are you with the quality of trainings
Very dissatisfied
Dissatisfied
Neither satisfied, nor dissatisfied
Satisfied
Very satisfied
H33
What can be done to improve the quality and accessibility of trainings offered?
H34
In what ways does the VO livelihood sub-committee support the CHC?
Doesn’t support the CHC in anyway
Provide CHC approval to purchase equipment
Decision of storage/housing of CHC equipment
Deciding operating rules and norms for running the CHC
Monthly monitoring of CRP/Krishi Sakhi
Tracking maintenance of CHC Book of Records
Collection of cash/net revenues from krishisakhis and depositing in banks
Approval of payments for equipment repair, replacement, building rental
Grievance redressal
Approve rental of equipment to SHG non-members
Other
Don’t Know
H35
Do you receive support from any other government schemes/programs to set up the CHC/ for subsidies on agricultural equipment?
None
MGRNEGS
Sub Mission on Agricultural Mechanization
State Rural Livelihood Mission
Other
Don’t Know
H36
What are the processes followed to rent equipment?
Submit a requisition slip
Collection of a day’s worth of advance
CRP records in requisition register
Provision of equipment of first-cum-first serve basis
Provision of rent receipt
Don’t Know
H37
What is done in case equipment is not submitted on time/late payment?
No additional charge
additional charge as penalty late fees
Other
Don’t Know
H38A
How is the penalty decided?
H38B
Is there a grievance redressal system/mechanism at CHC?
H39
What is done to handle grievances with the CHC?
Noted in suggestions/complaints register
Nothing is done/ignored
Other
Don’t Know
H40
What was the total CHC revenue for the previous financial year? (for FY 2023-2024)
H41
What is the net revenue deposited with the VO sub-committee for the previous financial year? (for FY 2023-2024)
H42
What is the total expenditure on repair and maintenance of equipment
H43
What was the total expenditure on procurement or replacement of new equipment (for FY 2023-2024)
H44
On a scale of 1-5, how would you rate your experience with the CHC?
Very dissatisfied
Dissatisfied
Neither satisfied, nor dissatisfied
Satisfied
Very satisfied
H45
How do you think CHC services can improve?
Cheaper equipment
Timely availability of equipment
Greater stock of equipment (quantity)
Greater variety of equipment
Better quality/repair/maintenance of equipment
Better management of CHC
Better Greivance Redressal
Other
Convergence
I01
Has the VO taken any steps to ensure that SHG members regularly attend VHSND, Gram Sabha meetings and GPDP planning process?
Yes
No
I02
If yes, please mention the steps undertaken
I03
In the last 6 months, in how many VO meetings were attended by AWW/Ashas/ANMs?
I04
What are the areas in which these workers provided awareness/information on?
I05
Has the VO members taken up any discussions/meetings to discuss the quality of VHND and ICDS services provided?
Yes
No
I06
Has the VO provided awareness to its members on roles and responsibilities of PRI, women sabhas, 73rd and 74th amendment and gram sabhas.
Yes
No
I07
If yes, how has the information helped the members
I08
In the last 6 months has the VO participated in activities alongwith PRIs?
Yes
No
I09
If yes, please mention the activities and meetings participated
I10
How does VO incorporate VPRP into its operations?
I11
What kind of social capital developed VO has developed over time?
I12
Does this VO have provided with training on gender module?
Yes
No
I13
What aspects of Gender has been incorporated in the functioning of VOs ? Please elaborate
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