Metro Nashville Risk Assessment (Annex 10)

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Organization Information

Name of Organization

Organization Address

Board Chair

Executive Director

Amount of Grant Funding Requesting

Risk Assessment (Please Answer Each Question Honestly)

1. Is the entity new to operating or managing federal, state, and/or local funds (has not done so within the past five years)?

YesNoNot Applicable

2. Is this program new for the entity (managed less than 3 years)?

YesNoNot Applicable

3. Has there been high leadership staff turnover or agency reorganization that affects this program?

YesNoNot Applicable

4. Are the staff assigned to the program inexperienced with the program (worked with the program for less than 2 funding cycles)?

YesNoNot Applicable

5. Does the agency/entity have or previously had a lawsuit(s) filed against them? If yes, list all pending and previous lawsuits with detailed information.

YesNoNot Applicable

Please list detailed lawsuit information below.

6. Have any organization staff been jailed, convicted of a felony or are currently under criminal investigation?

YesNoNot Applicable

7. Does the entity have a financial management system in place to track and record the program expenditures?

YesNoNot Applicable

8. Does the accounting system identify the receipts and expenditures separately for each award?

YesNoNot Applicable

9. Will the accounting system provide for the recording of expenditures for award by the budget cost categories shown in the approved budget?

YesNoNot Applicable

10. Does the entity have a time and accounting system to track effort by cost objective?

YesNoNot Applicable

11. Are time distribution records (time studies, sheets, etc.) maintained for all employees when his/her effort cannot be specifically identified to a particular program cost objective?

YesNoNot Applicable

12. Does the entity have an indirect cost rate that is approved and current?

YesNoNot Applicable

Risk Assessment Score

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Contact Information