| Vendor/Subrecipient Determination for Federally Funded Contracts | |||||||||||||
Non-State Organization: Nonprofit For-Profit
Federal Program Administrating Agency:
CFDA No. (Catalog of Federal Financial Assistance No., indicate appropriate Federal Program(s) in the blank provided.)
Contract No. Contract Agreement Period: From To
(Contract Manager ’s Name) (Contract Manager’s Title) (Date)
| 1. | Vendor (check all that apply): |
Provides the goods and services within normal business operations.
Provides similar goods or services to many purchasers
Operates in a competitive environment
Provides goods or services that are in support of the Federal program
Is not subject to compliance requirements of the Federal program.
| 2. | Subrecipient (check all that apply): |
Has its performance measured against Federal program objectives?
Determines eligibility for Federal financial assistance
Has responsibility for programmatic decision making
Must adhere to Federal program compliance requirements
Uses Federal funds to carry out its own programs as compared to providing goods or services for a program of a pass- through entity.
Part B: Conclusion.
Based on your analysis of the responses to Part A indicate your evaluation of the organization for this contract:
(check one) Subrecipient Vendor
NOTE: This checklist is a tool for Agency contract managers to use to determine a Provider’s status as either a Vendor or a Subrecipient as defined in OMB Circular A-133, Section 210, as revised. A Provider that is classified as a Subrecipient would be subject to audit requirements as specified in OMB Circular A-133, Section 210, as revised.
DOE Vendor Determination Checklist for Federal Funding, Page 1 of 1