GRANT CONTRACTOR INFORMATION

The following information applies to agencies receiving funding assistance through the Nebraska Office of Highway Safety for project grants with one to three years’of federal funding.

Nebraska Office of Highway Safety Forms/Guides:

Click to download forms/guides:

Annual Report Format Form

The annual report must contain all accomplishments and activities utilized to meet the goals/objectives outlined in the Grant Contract Proposal. Each objective must be addressed and the project's measurable impact on traffic safety must be included. All grant contractors must submit an annual report to the NOHS no later than the second Thursday in November.
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Cash Report/Cash Request Form

The contractor is responsible for submitting the CR/CR monthly with a copy of supporting documentation substantiating expenditures associated with the project. The request must be completed and submitted to our office on a monthly basis. CR/CR’s are due in our office by the 10^th of each month.
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Equipment Inventory Log Form

All equipment purchases must be specifically itemized in the Budget Proposal. If not included in the original Budget Proposal, expressed written approval from the NOHS is required prior to any purchase. Competitive bids are required on any equipment purchase in excess of $500.00. Upon receipt of any equipment, an "Equipment Inventory Log" form will be completed by the grant contractor and submitted to the NOHS. The grant contractor shall appropriately maintain any equipment purchased under the grant contract. (See the Policies, Procedures and Grant Application for additional information).
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Federal Circular Guides

The Federal Circular Guides must be reviewed by each State, local Government, and non-profit organization to ensure compliance with federal guidelines and NOHS policies. The type of circular required by each agency is outlined below:

OMB Circular A-21
Cost Principles for Educational Institutions
Relocated to 2 CFR, Part 220

OMB Circular A-87
Cost Principles for State, Local, and Indian Tribal Governments (5/10/2004)
Relocated to 2 CFR, Part 225

OMB Circular A-102
Grants and Cooperative Agreements With State and Local Governments
 (10/07/1994) (further amended 08/29/1997)

OMB Circular A-110
Uniform Administrative Requirements for Grants and Other Agreements with Institutions of Higher Education, Hospitals, and Other Non-Profit Organizations
 (11/19/1993) (further amended 09/30/1999)
Relocated to 2 CFR, Part 215

OMB Circular A-122
Cost Principles for Non-Profit Organizations 
Relocated to 2 CFR, Part 230

OMB Circular A-133
Audits of States, Local Governments, and Non-Profit Organizations (06/27/1997)
 (includes revisions published in Federal Register 06/27/2003. According to Office of Management and Budget (OMB) Circular A-133, contractors that receive $500,000 or more in a year in federal funds must provide a copy of their single audit to NOHS for each federal fiscal year that federal funds were received. The audit must be submitted by August 1st of the following calendar year.

Contractor	Administrative	Cost Principles	Audit
Nonprofit Organization	2 CFR, Part 215	2 CFR, Part 230	Circular A-133
College/University	2 CFR, Part 215	2 CFR, Part 220	Circular A-133
State, Local or Tribal Government	Circular A-102	2 CFR, Part 225	Circular A-133

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Grant Contract Cover Form

Applications submitted to the NOHS must attach the Grant Contract Cover form with appropriate information and signatures.
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Personal Services Breakdown Form

All reimbursement requests for personal services must be substantiated by submitting the completed Personal Services Breakdown form.
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Policies, Procedures and Grant Contract Application

The Policies, Procedures, and Grant Contract Application incorporates the “Policies and Procedures” of the Nebraska Office of Highway Safety. Every state, county, community, law enforcement agency, organization, etc. eligible to receive federal funding through a project or mini-grant contract must read and comply with guidelines of this document. State and federal Rules and Regulations also need to be complied with as outlined in the “Audit” section, page 2 of the guide.
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Weekly Time Report Form

All reimbursement requests for personal services must be substantiated by submitting a completed weekly time report form with the appropriate signatures.
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