Surveypoint

Q01

Name of District

Q02

Name of Block

Q03

Name of Gram Panchayat

Q04

Name of Village

Q05

Date of observation

Q06

Result of the visit

COMPLETED

OTHER (SPECIFY)

Q07

Name of the respondent

Q08

Contact number

Q09

District Code

Q10

Block Code

Q11

Gram Panchayat Code

Q12

Village Code

Q13

Name of Observer

Q14

Code of Observer

A01

Have you attended last gram panchayat (GP) meeting?

Yes

No

A02

When was the last GP meeting held?

A03

Were the decisions at GP meeting documented?

Yes

No

A04

Are the decisions/documents accessible on request?

Yes

No

A05

Did the panchayat undertake self-disclosure as per Section 4A of the RTI Act?

Yes

No

A06

Whether voluntary disclosure of important information has been displayed in the Gram Panchayat office and public places as per provisions of RTI Act?

A06A

Displayed for FY 2016-17

A06A1

BPL list

A06A2

Pensioners and other beneficiaries of various schemes

A06A3

Income and expenditure of the Panchayat

A06A4

List of officials to whom grievances are to be addressed

A06B

Displayed but not for FY 2016-17

A06B1

BPL list

A06B2

Pensioners and other beneficiaries of various schemes

A06B3

Income and expenditure of the Panchayat

A06B4

List of officials to whom grievances are to be addressed

A06C

Not displayed

A06C1

BPL list

A06C2

Pensioners and other beneficiaries of various schemes

A06C3

Income and expenditure of the Panchayat

A06C4

List of officials to whom grievances are to be addressed

A07

Has any sub-committee been formed in the Gram Panchayat?

Yes

No

Do not know

A08

How many sub-committees have been formed in the Gram Panchayat?

A09

What are the names of the sub-committees

Samanya aur prasasan

Nirman aur Vikash samiti

siksha, swasthya aur samajik kalyan samiti

Others

A10

Gp Members Template -Form Fill

Name of District

Name of Block

Name of Gram Panchayat

Name of Village

Date of observation

Result of the visit

Name of the respondent

Contact number

District Code

Block Code

Gram Panchayat Code

Village Code

Name of Observer

Code of Observer

Have you attended last gram panchayat (GP) meeting?

When was the last GP meeting held?

Were the decisions at GP meeting documented?

Are the decisions/documents accessible on request?

Did the panchayat undertake self-disclosure as per Section 4A of the RTI Act?

Whether voluntary disclosure of important information has been displayed in the Gram Panchayat office and public places as per provisions of RTI Act?

Displayed for FY 2016-17

BPL list

Pensioners and other beneficiaries of various schemes

Income and expenditure of the Panchayat

List of officials to whom grievances are to be addressed

Displayed but not for FY 2016-17

BPL list

Pensioners and other beneficiaries of various schemes

Income and expenditure of the Panchayat

List of officials to whom grievances are to be addressed

Not displayed

BPL list

Pensioners and other beneficiaries of various schemes

Income and expenditure of the Panchayat

List of officials to whom grievances are to be addressed

Has any sub-committee been formed in the Gram Panchayat?

How many sub-committees have been formed in the Gram Panchayat?

What are the names of the sub-committees

Remarks