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Vo Template 3 -Form Fill
Information
Q01
District Name
Q02
District Code
Q03
Block Name
Q04
Block Code
Q05
Village Name
Q06
Village Code
Q07
VO Name
Q08
VO Code
Identification Information
A01
Name of the respondents
A02
Designation of the respondent
President
Vice-President
Secretary
Treasurer
Bookkeeper
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 extended period
Respondent is temporarily away
Other (specify)
A04_5
Record time when you start the interview
A04_6
Record time when you end the interview
A05
SECOND 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
THIRD 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
VO Information
B01
What is the name of this VO?
B02
What is the date of formation of this VO?
B03
How many SHGs are a member of this VO?
B04
Number of households 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
B08
How many New SHGs are eligible to join the VO
B09
What is the membership fee paid by member SHGs?
B10
What is the yearly membership renewal fee paid by member SHGs?
B11
Number of SHGs who had not submitted membership/renewal fee?
B12
In the last year, have the accounts of this VO been reviewed by the CLF?
Yes
No
B13
What has been the organizational purpose of this VO?
B14
What has been the primary function of this VO?
Governance
C01
Name of the office bearer
C02
Age of this office bearer
C03
Religion of this office bearer
Hinduism
Islam
Christianity
Jainism
Sikhism
Buddhism
Other (please specify)
C04
Social category of this office bearer
SC
ST
OBC
Extreme Backward Class
General
Others
C05
Position currently held by this office bearer
President
Vice President
Secretary
Treasurer
C06
What is the tenure of holding office?
C07
For how many terms can one hole this position?
C08
Year since the respondent has been holding this position?
C09
In which year did the last rotation in a position take place?
C10
Is the current position a paid position?
Yes
No
C11
Education level of this office bearer
Primary
Middle
Secondary
Senior secondary
Certificate/ Diploma course
Graduate
Postgraduate
Others, specify
Never attended school
C12
Type of ration card the office bearer has.
APL
BPL
AAY
Do not have a ration card
C13
Is the office bearer disabled?
Yes
No
C14
What are the trainings received by the office-bearer?
VO Concept and Management
Leadership training
Training on VO Books of Accounts
Financial Management of VO
Cadre Selection and Management
Convergence
Livelihood training
No training received
Others (specify)
Governing Body/ Executive Committee (EC) and General Body (GB)
D01
When was the last General Body Meeting convened?
D02
What is the norm for conducting GB meetings of this VO?
Biannually
Annually
D03
Provide details of last 3 General Body Meetings
D03A
Meeting 1
D03A_1
Happened ?
Yes
No
D03A_2
date
D03A_3
No. of Members present.
D03B
Meeting 2
D03B_1
Happened ?
Yes
No
D03B_2
date
D03B_3
No. of Members present.
D03C
Meeting 3
D03C_1
Happened ?
Yes
No
D03C_2
date
D03C_3
No. of Members present.
D04
How many SHGs had not participated in each of the last two GB meetings?
D05
When was the present Executive Committee (EC) of the VO constituted?
D06
What is the norm for conducting EC meetings of this VO?
Fortnightly
Monthly
Quarterly
D07
How many EC members are currently elected?
D08
How many EC meetings were held in the last 12 months?
D09
Provide details of last 4 meetings of Executive Committee
D09A
Meeting 1
D09A_1
Happened ?
Yes
No
D09A_2
date
D09A_3
No. of Members present.
D09B
Meeting 2
D09B_1
Happened ?
Yes
No
D09B_2
date
D09B_3
No. of Members present.
D09C
Meeting 3
D09C_1
Happened ?
Yes
No
D09C_2
date
D09C_3
No. of Members present.
D09D
Meeting 4
D09D_1
Happened ?
Yes
No
D09D_2
date
D09D_3
No. of Members present.
D10
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)
D11
How many EC members were absent in each of the last four consecutive meetings?
D11A
Meeting 1
D11B
Meeting 2
D11C
Meeting 3
D11D
Meeting 4
D12
No. of SHGs and no. of meetings failed to attend meetings consecutively
D12_1
Meeting 1
D12_2
Meeting 2
D12_3
Meeting 3
D12_4
Meeting 4
D13
What was the penalty levied if any of the EC members did not attend the EC meeting?
D14
How many meetings did Community Mobilizer had attended in the last 6 months?
D15
How many meetings are attended by NRLM staff in the last 6 months?
D16
What topics were discussed in the last 4 meetings of the EC?
D16_1
Meeting 1
Issues related to savings & loan
Maintenance of records
disbursement of CIF
Schedule and loan repayment terms
Promotion of livelihood activities
Training identification 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 and Social issues
Symptoms and preventive measures for CORONA (COVID-19)
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
Training identification 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 and Social issues
Symptoms and preventive measures for CORONA (COVID-19)
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
Training identification 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 and Social issues
Symptoms and preventive measures for CORONA (COVID-19)
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
Training identification 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 and Social issues
Symptoms and preventive measures for CORONA (COVID-19)
Others (Specify)
D17
Have you seen/felt any difference in the functioning of this VO on the virtue of being part of a model CLF from other VO’s?
Yes
No
D18
If yes, can you tell briefly what are the areas that you have felt the difference?
D19
Has the VO had any recent conflict/ argument with CLF in the recent past?
Yes
No
D20
If yes, what was the conflict about?
D21
How was the conflict resolved?
D22
Has the VO formed different sub-committees for managing various roles and responsibilities of the VO?
Yes
No
D23
COMMITTEE TYPE
Social Audit Committee
Loan Repayment committee
Bank Linkage committee
social Action committee
Purchase and Sell Committee
Others(specify)
D24
When was this committee formed?
D25
How many members are there in the committee currently?
D26
How many times did this committee meet in the last 12 months?
D27
Key roles and responsibilities of the committee
D28
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 SHG work
microcredit
loan need identification
fund management
bookkeeping
bank linkage and operations
grading of SHGs
Exposer visit
conflict management
Others (specify)
D29
How would you rate the effectiveness of this committee?
Can’t say/not willing to respond
not effective
moderately effective
effective
very effective
D30
Was the notice for AGM served to all the members?
Yes
No
D31
Was it displayed in Notice Board of VO’s office?
Yes
No
D32
Has the attendance of members been recorded?
Yes
No
D33
Have the minutes of meeting been captured and signed by the Chairperson?
Yes
No
D34
Whether the following issues discussed during the last four EC meetings?
D34_1
Financial status of VO and Repayment from SHGs
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_2
Monthly Progress Report and Grading of the SHGs
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_3
Status and Promotion of PGs
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_4
Identification of Defaulter SHG or SHG at risk of default
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_5
Action plan for loan recovery
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_6
Identification of most poor families in the village
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_7
Identification of training and financial help to sustain/promote livelihood activities
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_8
Performance of Community cadre i.e., CM, bookkeeper, BS/BC etc.
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_9
Health and nutrition-related issues – the importance of balanced diet, child and maternal health, health services in the village
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_10
Sanitation related issues- the importance of cleanliness, sanitation practices, availability of clean drinking water, construction of toilets etc.
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_11
Education in the village- school enrolment, availability of the teaching staff etc.
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_12
Involvement in Panchayati Raj Institutions – Participation in Gram Sabha (General)
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_13
Active Participation in Government Schemes- by facilitating members to access Govt. Welfare/ Development Schemes/Programs (e.g., MGNREGS, PDS, etc.
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_14
Discussion on last month meeting minutes
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D34_15
Discussion on Household Livelihoods
No
Yes but not recorded in minutes of meeting register
Yes and recorded in minutes of meeting register
D35
Amount of time spent in minutes.
D35_1
Financial status of VO and Repayment from SHGs
D35_2
Monthly Progress Report and Grading of the SHGs
D35_3
Status and Promotion of PGs
D35_4
Identification of Defaulter SHG or SHG at risk of default
D35_5
Action plan for loan recovery
D35_6
Identification of most poor families in the village
D35_7
Identification of training and financial help to sustain/promote livelihood activities
D35_8
Performance of Community cadre i.e., CM, bookkeeper, BS/BC etc.
D35_9
Health and nutrition-related issues – the importance of balanced diet, child and maternal health, health services in the village
D35_10
Sanitation related issues- the importance of cleanliness, sanitation practices, availability of clean drinking water, construction of toilets etc.
D35_11
Education in the village- school enrolment, availability of the teaching staff etc.
D35_12
Involvement in Panchayati Raj Institutions – Participation in Gram Sabha (General)
D35_13
Active Participation in Government Schemes- by facilitating members to access Govt. Welfare/ Development Schemes/Programs (e.g., MGNREGS, PDS, etc.
D35_14
Discussion on last month meeting minutes
D35_15
Discussion on Household Livelihoods
Livelihood Cadres
E01
What are the different livelihood activities engaged by the members of this PG?
Agriculture
Organic Farming
Livestock
Fisheries
NTFP
Other's specify
E02
Type of Cadre
Krishi Sakhi
Krishi Jaivik Sakhi
Pasu Sakhi
Van Sakhi
Matsya Sakhi
Krishi Udyog Sakhi
E02_1
Do this PG have this cadre?
Yes
No
E02_2
Sex of the cadre
Male
Female
E02_3
Educational qualification of the cadre
No formal schooling
Illiterate
Primary
Secondary
Matriculation Pass
Diploma
Graduation
Post Graduation
Others
E02_4
Does the cadre selected have 2 years of prior experience in the same role?
Yes
No
E02_5
Is the selected cadre engaged in this PG for another cadre level position?
Yes
No
E02_6
If yes, mention the other cadre positions engaged by this cadre?
Krishi Sakhi
Krishi Jaivik Sakhi
Pasu Sakhi
Van Sakhi
Matsya Sakhi
Krishi Udyog Sakhi
E02_7
Is the cadre selected engaged in any other position in PG/SHG/VO/CLF?
Office bearer of PG
Office bearer of SHG
Office bearer of VO
Office bearer of CLF
Sub-committee member of VO
Sub-committee member of CLF
None
E02_8
What is the average monthly remuneration received by the cadre?
E02_9
Who pays the cadre?
PG
VO
SRLM
Other's specify
E02_10
What have been your services, roles and responsibilities in the PG/VO?
Livelihood assessment and gap analysis
Preparation of livelihood plans
Facilitating convergence with MGNREGA and other line departments
Identification of Mahila Kisan for the livelihood activities
Attending training programmes
Organise and facilitate field visit
Conducting Farmer Field school or Pasu Pathsala
Collection of Field data (production estimation, vaccination, deworming)
Collection of MIS data (member profiling)
Capacity building of Mahila Kisan
Support in the adoption of practices
Maintenance of records
Other's specify
E02_11
How many members in this village have received their services in last year?
E02_12
Among these households how many households have members joined in the SHGs?
E02_13
Have you received any training after taking up this role?
Orientation/Initial Skill training
Comprehensive livelihood gap analysis
Module based thematic trainings
Exposure visits (within state)
Exposure visits (outside state)
On-field hand holding support
Refresher training
E02_14
What are the topics from the thematic areas that were covered during the training?
E02_15
How many days of training have you been received till date?
E02_16
How many refresher trainings have been received by the cadre after starting the role?
E02_17
How satisfied are you with the training received?
Very dissatisfied
Less satisfied
Neither satisfied nor dissatisfied
Moderately satisfied
Very satisfied
E02_18
Do you provide additional services (nursery, veterinary services etc.) to the members in the village?
Yes
No
E02_19
If yes, mention the additional services provided by this cadre?
E02_20
On average how much do you earn as a service fee in a month for rendering these services (excluding honorarium for their regular services)?
Organizational Management
F01
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)
F02
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)
F03
How many SHGs linked with this VO are in the graded category as used by CLF to grade the associated SHGs?
F03_1
Grade A
F03_2
Grade B
F03_3
Grade C
F03_4
Grade D
F04
What is being done for SHGs which are performing poorly?
F05
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
Others (specify)
F06
How many new SHGs are promoted by VO in the last three months?
F07
Did VO had conducted Training for SHGs?
Yes
No
F08
What training did VO had provided? please specify the number
Panch Sutra
Micro Credit
Bookkeeping
Concept of VO
Conflict Management
Livelihood Promotion
Others
F09
Did Community Cadre had supported in the training
Yes
No
F10
Did NRLM staff had supported in SHG training
Yes
No
F11
No of the groups started livelihood activities?
F12
How satisfied are the members with the functioning of the VO?
Not satisfied
Satisfied
very satisfied
Can’t say
F13
What is the reason for opinion in 613?
Maintenance of Records
G01
Whether the record is introduced in the VO?
G01_1
Membership Register
Yes
No
G01_2
Meetings Register
Yes
No
G01_3
Minutes Book
Yes
No
G01_4
Savings Register
Yes
No
G01_5
General Ledger
Yes
No
G01_6
Daily Expenses Register
Yes
No
G01_7
Cash Book
Yes
No
G01_8
Loan Register
Yes
No
G01_9
Receipt Book
Yes
No
G01_10
Voucher Book
Yes
No
G01_11
Stock register
Yes
No
G01_12
Financial statements
Yes
No
G01_13
VO Passbook
Yes
No
G01_14
Cheque Issue Register
Yes
No
G01_15
VO DCB Register
Yes
No
G02
Please record the date last updated
G02_1
Membership Register
G02_2
Meetings Register
G02_3
Minutes Book
G02_4
Savings Register
G02_5
General Ledger
G02_6
Daily Expenses Register
G02_7
Cash Book
G02_8
Loan Register
G02_9
Receipt Book
G02_10
Voucher Book
G02_11
Stock register
G02_12
Financial statements
G02_13
VO Passbook
G02_14
Cheque Issue Register
G02_15
VO DCB Register
Financial Management
H01
Total Received Fund by VO
H02
Total Loan is given by VO Corpus Fund
H03
Total repayment on the VO Corpus fund
H04
Total loan outstanding of CLF loan on VO
H05
Average annual interest charged by CLF on loans to VO
H06
Total Outstanding of VO loan on SHG
H07
Average annual interest charged by VO on loans to SHGs
H08
Cash in Bank
H09
Total No of SHGs Taken CIF loan
H10
Total amount of CIF disbursed to the member SHGs
H11
Total amount of CIF repaid by member SHGs to the VO till date
H12
Total number of SHG defaulted the VO loan
H13
Total No of SHG with the potential of loan default/week repayment ratio
H14
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)
H15
Has the VO received any interest-free loan from CLF in the last three months?
Yes
No
H16
Has the VO funded any interest-free loan to any SHG in the last three months?
Yes
No
H17
How many SHGs have accessed interest free loans from your VO in the last three months?
H18
Number of SHG had raised the demand for a loan last three month
H18_1
Month 1
H18_2
Month 2
H18_3
Month 3
H19
Number of loan Demands accepted by VO for last three months
H19_1
Month 1
H19_2
Month 2
H19_3
Month 3
H20
Total loan of demand raised by VO to CLF in last three months (Amount)
H20_1
Month 1
H20_2
Month 2
H20_3
Month 3
H21
Total Loan received by VO in last three months (Amount)
H21_1
Month 1
H21_2
Month 2
H21_3
Month 3
H22
Amount due from SHGs in the last three months
H22_1
Month 1
H22_2
Month 2
H22_3
Month 3
H23
Amount collected from SHGs in the last three months
H23_1
Month 1
H23_2
Month 2
H23_3
Month 3
H24
Note the Demand Collection Balance (DCB) from the bookkeeper.
H24_1
Month 1
H24_2
Month 2
H24_3
Month 3
H25
What is the expenditure incurred by the VO under the following heads?
H25_1
Payment of staff (cadre)
H25_2
Training expenses
H25_3
Purchase of fixed assets (ag. Purchase/ Construction of VO office - furniture, almirah etc.)
H25_4
Miscellaneous expenses (e.g. Printing of brochures, purchase of stationery etc.)
H26
What is the amount received by the VO under the following heads?
H26_1
Membership fees (subscription fee) deposited by SHGs
H26_2
Interest received on loans
H26_3
Earnings from other sources (specify)
H27
Total profit/surplus accumulated by the VO
H28
Opening balance
H29
Closing balance
H30
Did you receive [fund]?
H30_1
CIF
Yes
No
H30_2
Vulnerability Reduction Fund
Yes
No
H30_3
Livelihoods Funds
Yes
No
H30_4
Convergence funds
Yes
No
H30_5
Infrastructure/ Startup Funds
Yes
No
H31
What is the date on which [fund] received last time (MM/YY)
H31_1
CIF
H31_2
Vulnerability Reduction Fund
H31_3
Livelihoods Funds
H31_4
Convergence funds
H31_5
Infrastructure/ Startup Funds
H32
What is the total amount received by the VO till the date of this survey under this fund? (in INR)
H32_1
CIF
H32_2
Vulnerability Reduction Fund
H32_3
Livelihoods Funds
H32_4
Convergence funds
H32_5
Infrastructure/ Startup Funds
H33
How was the fund received by the VO?
H33_1
CIF
H33_2
Vulnerability Reduction Fund
H33_3
Livelihoods Funds
H33_4
Convergence funds
H33_5
Infrastructure/ Startup Funds
H34
How was the fund utilized by the VO?
H34_1
CIF
H34_2
Vulnerability Reduction Fund
H34_3
Livelihoods Funds
H34_4
Convergence funds
H34_5
Infrastructure/ Startup Funds
H35
FY 2019-20 (INR)
H35_1
Net savings/ subscription/contribution from member organizations (after returning to members, if any)
H35_2
Net share capital (after returning to members, if any)
H35_3
Fixed deposits made by VO
H35_4
CIF outstanding
H35_5
CEF outstanding
H35_6
PG loan outstanding
H35_7
Other loans outstanding (loans given from other grants)
H35_8
Net profit or loss*
H35_9
Cash in hand
H35_10
Cash at bank
H35_11
Total funds
H36
FY 2020-21 (INR)
H36_1
Net savings/ subscription/contribution from member organizations (after returning to members, if any)
H36_2
Net share capital (after returning to members, if any)
H36_3
Fixed deposits made by VO
H36_4
CIF outstanding
H36_5
CEF outstanding
H36_6
PG loan outstanding
H36_7
Other loans outstanding (loans given from other grants)
H36_8
Net profit or loss*
H36_9
Cash in hand
H36_10
Cash at bank
H36_11
Total funds
H37
FY 2021-22 (INR)
H37_1
Net savings/ subscription/contribution from member organizations (after returning to members, if any)
H37_2
Net share capital (after returning to members, if any)
H37_3
Fixed deposits made by VO
H37_4
CIF outstanding
H37_5
CEF outstanding
H37_6
PG loan outstanding
H37_7
Other loans outstanding (loans given from other grants)
H37_8
Net profit or loss*
H37_9
Cash in hand
H37_10
Cash at bank
H37_11
Total funds
H38
Expenditure (recurring) including statement of advances during the year
H38A
FY 2018-19 (INR)
H38A_1
Remuneration to VO staff
H38A_2
Office rent, water, electricity, telephone, communication, internet, etc.
H38A_3
Stationary purchased
H38A_4
Travel expenses
H38A_5
Bank/ commission charges
H38A_6
Other expenditures (if available mention expenditure incurred on training separately in remarks screen)
H38A_7
Subscription/Fee to paid higher level federations
H38B
FY 2019-20 (INR)
H38B_1
Remuneration to VO staff
H38B_2
Office rent, water, electricity, telephone, communication, internet, etc.
H38B_3
Stationary purchased
H38B_4
Travel expenses
H38B_5
Bank/ commission charges
H38B_6
Other expenditures (if available mention expenditure incurred on training separately in remarks screen)
H38B_7
Subscription/Fee to paid higher level federations
H38C
FY 2020-21 (INR)
H38C_1
Remuneration to VO staff
H38C_2
Office rent, water, electricity, telephone, communication, internet, etc.
H38C_3
Stationary purchased
H38C_4
Travel expenses
H38C_5
Bank/ commission charges
H38C_6
Other expenditures (if available mention expenditure incurred on training separately in remarks screen)
H38C_7
Subscription/Fee to paid higher level federations
H38D
FY 2021-22 (INR)
H38D_1
Remuneration to VO staff
H38D_2
Office rent, water, electricity, telephone, communication, internet, etc.
H38D_3
Stationary purchased
H38D_4
Travel expenses
H38D_5
Bank/ commission charges
H38D_6
Other expenditures (if available mention expenditure incurred on training separately in remarks screen)
H38D_7
Subscription/Fee to paid higher level federations
H39
Loan loss/ write off bad debts
H39_1
FY 2018-19 (INR)
H39_2
FY 2019-20 (INR)
H39_3
FY 2020-21 (INR)
H39_4
FY 2021-22 (INR)
H40
Service charges paid to member organizations
H40_1
FY 2018-19 (INR)
H40_2
FY 2019-20 (INR)
H40_3
FY 2020-21 (INR)
H40_4
FY 2021-22 (INR)
H41
Total expenditure
H41_1
FY 2018-19 (INR)
H41_2
FY 2019-20 (INR)
H41_3
FY 2020-21 (INR)
H41_4
FY 2021-22 (INR)
H42
Income receipts during the said period
H42A
FY 2018-19 (INR)
H42A_1
Bank Interest received
H42A_2
Penalty collected
H42A_3
Resource fee/ institutional charges received
H42A_4
CIF interest on loans collected from member organizations
H42A_5
CEF interest on loans received
H42A_6
Interests received from loans given from other grants
H42A_7
Recurring subscription fee received from member organizations
H42A_8
Membership fee received from member organizations
H42A_9
Admission/registration fees received from member organizations
H42A_10
Service Fee received
H42A_11
Other income
H42A_12
Income from other grants
H42B
FY 2019-20 (INR)
H42B_1
Bank Interest received
H42B_2
Penalty collected
H42B_3
Resource fee/ institutional charges received
H42B_4
CIF interest on loans collected from member organizations
H42B_5
CEF interest on loans received
H42B_6
Interests received from loans given from other grants
H42B_7
Recurring subscription fee received from member organizations
H42B_8
Membership fee received from member organizations
H42B_9
Admission/registration fees received from member organizations
H42B_10
Service Fee received
H42B_11
Other income
H42B_12
Income from other grants
H42C
FY 2020-21 (INR)
H42C_1
Bank Interest received
H42C_2
Penalty collected
H42C_3
Resource fee/ institutional charges received
H42C_4
CIF interest on loans collected from member organizations
H42C_5
CEF interest on loans received
H42C_6
Interests received from loans given from other grants
H42C_7
Recurring subscription fee received from member organizations
H42C_8
Membership fee received from member organizations
H42C_9
Admission/registration fees received from member organizations
H42C_10
Service Fee received
H42C_11
Other income
H42C_12
Income from other grants
H42D
FY 2021-22 (INR)
H42D_1
Bank Interest received
H42D_2
Penalty collected
H42D_3
Resource fee/ institutional charges received
H42D_4
CIF interest on loans collected from member organizations
H42D_5
CEF interest on loans received
H42D_6
Interests received from loans given from other grants
H42D_7
Recurring subscription fee received from member organizations
H42D_8
Membership fee received from member organizations
H42D_9
Admission/registration fees received from member organizations
H42D_10
Service Fee received
H42D_11
Other income
H42D_12
Income from other grants
H43
loan disbursement and repayment in the last 3 months
H43A
As on 31st August 21
H43A_1
Total loan amount demanded (in INR)
H43A_2
Total loan amount disbursed (in INR)
H43A_3
Total loan outstanding (in INR)
H43A_4
Expected payment of Principal amount (in INR)
H43A_5
Expected payment of Interest amount (in INR)
H43A_6
Actual collection of Principal amount (in INR)
H43A_7
Actual collection of Interest amount (in INR)
H43A_8
Closing Balance (Cash in Hand) (in Rs)
H43A_9
Closing Balance (Cash in Bank) (in Rs)
H43A_10
Total Amount overdue for more than 30 days (only principal)
H43A_11
Total Amount overdue for more than 90 days (only principal)
H43B
As on 30th September 21
H43B_1
Total loan amount demanded (in INR)
H43B_2
Total loan amount disbursed (in INR)
H43B_3
Total loan outstanding (in INR)
H43B_4
Expected payment of Principal amount (in INR)
H43B_5
Expected payment of Interest amount (in INR)
H43B_6
Actual collection of Principal amount (in INR)
H43B_7
Actual collection of Interest amount (in INR)
H43B_8
Closing Balance (Cash in Hand) (in Rs)
H43B_9
Closing Balance (Cash in Bank) (in Rs)
H43B_10
Total Amount overdue for more than 30 days (only principal)
H43B_11
Total Amount overdue for more than 90 days (only principal)
H43C
As on 31th October 21
H43C_1
Total loan amount demanded (in INR)
H43C_2
Total loan amount disbursed (in INR)
H43C_3
Total loan outstanding (in INR)
H43C_4
Expected payment of Principal amount (in INR)
H43C_5
Expected payment of Interest amount (in INR)
H43C_6
Actual collection of Principal amount (in INR)
H43C_7
Actual collection of Interest amount (in INR)
H43C_8
Closing Balance (Cash in Hand) (in Rs)
H43C_9
Closing Balance (Cash in Bank) (in Rs)
H43C_10
Total Amount overdue for more than 30 days (only principal)
H43C_11
Total Amount overdue for more than 90 days (only principal)
Custom Hiring Centres
I01
Is there a functional CHC in your area?
Yes
No
I02
How many farmers are members of the CHC?
10 – 20
20 – 50
50 – 100
Other
Don’t Know
I03
Is there a membership fee to join the CHC?
Yes
No
I04
If yes, what is the membership fee? (INR)
I05
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
I06
Who all are eligible to avail the CHC services?
Only SHG members
SHG and Non SHG members
Don’t Know
I07
Have the CHC services be of help to you and other farmers in your area?
Yes
No
I08
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
I09
Are there certain farmers who are eligible but not opting for CHC services?
Yes
No
I10
If yes, are there any barriers that disable them from taking advantage of CHC services?
I11
What is the potential area under cultivation where the CHC can rent out the implements?
I12
What is the total area serviced by this CHC?
I13
Which operations can be performed using the equipment available in the CHC?
Sowing
Intercultural Operation
Sowing
Irrigation
Spraying
Post Harvest
I14
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
I15
Did anyone from SRLM/project team ever take your suggestion on what kind of agricultural equipment to store in the CHC?
Yes
No
I16
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
I17
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
I18
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
I19
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
I20
How are the machinery priced vis-à-vis the market rates?
Above market rental
Below market rental
Equal to market rental
Don’t Know
I21
Who owns the CHC?
CLF
VO Livelihood Subcommittee
Others
Don’t Know
I22
Who manages the day-to-day operations of the CHC?
Community CRP (Krishi Sakhi/Pashu Sakhi)
Other
Don’t Know
I23
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
I24
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 Registr (Equipment Wise)
Other
I25
Does the CRP receive an honorarium?
Yes
No
I26
What is the monthly/yearly honorarium of the CRP?
I27
Does the CRP/ VO livelihood sub-committee members receive trainings to run the CHC?
Yes
No
I28
Were you able to attend the trainings conducted?
Yes
No
I29
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
I30
At what frequency are these trainings conducted?
Fortnightly
Monthly
Quarterly
Biannually
Yearly
Other
Don’t Know
I31
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
I32
What can be done to improve the quality and accessibility of trainings offered?
I33
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 krishi sakhis and depositing in banks
Approval of ppayments for equipment repair, replacement, building rental
Grievance redressal
Approve rental of equipment to SHG non-members
Other
Don’t Know
I34
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
I35
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
I36
What is done in case equipment is not submitted on time/late payment?
No additional charge
1.5 times rent is charged per day
Normal rent is charged during power cut/rainfall
Other
Don’t Know
I37
What is done to handle grievances with the CHC?
Noted in suggestions/complaints register
Nothing is done/ignored
Other
Don’t Know
I38
What was the total CHC revenue for the previous financial year? (for FY 2021-2022)
I39
What is the net revenue deposited with the VO sub-committee for the previous financial year? (for FY 2021-2022)
I40
What is the total expenditure on repair and maintenance of equipment
I41
What was the total expenditure on procurement or replacement of new equipment (for FY 2021-2022)
I42
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
I43
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
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