Form DS-2028 OVERSEAS SCHOOLS - GRANT STATUS REPORT

Instructions for Grantee
A separate Grant Status Report (DS-2028) shall be prepared for each U.S.
Column 4 - Balance Unobligated
Government grant. The annual DS-2028 report is due March 31. A final
DS-2028 report is due no later than 90 days after completion of the grant.

NOTE: When filling in the top portion of the DS-2028 form, the "Award
Number" should correspond with the number contained in block No. 2 of the
Federal Assistance Award Form 1909, and the date of execution should
correspond to block No. 16b of that form. The termination date can be found in
block No. 9 of Form 1909 or, if the grant has been amended to extend its
termination date, in block No. 9 of Form 1909A (Amendment to Federal
Assistance Award Form). If the grant has been amended, the execution
date(s) of any amendment(s) can be found in block No. 4 of the amendment
Form 1909A.

Column 2 less Column 3 should equal Column 4. This represents the
amount for which the school has not yet incurred a valid obligation as
defined above.

Column 5 - Total Requested
Enter the total cumulative amount(s) for which the school has submitted
vouchers requesting reimbursement for school funds utilized in support of
purposes listed in column No. 1.
NOTE: Amount(s) of vouchers submitted to apply against advances to
USG funds should be reported under column No. 8.

Column 6 - Total Received
Column 1 - Purpose

Enter category(ies) of assistance in the order in which they appear in the
Attachment No. 1 (Budget/Purposes Statement) to Federal Assistance
Award Form 1909, i.e. salary support for director, salary support for ESL
teacher, purchase of educational materials, in-service training,
school-to-school program, etc. If the grant has been amended to add
additional categories of assistance, be sure to include those also.

Column 2 - Amount Authorized
Enter the amount(s) specified for each category of assistance listed in
column No. 1. The total at the bottom of Column 2 should be the total
amount authorized by the grant and any amendment(s).

Column 3 - Obligations
Enter the amount(s) obligated by the grantee cumulatively during the entire
period of the grant to date. The term "obligation" is defined as a valid claim
against the grant, resulting from action by an authorized school official
pursuant to orders placed, contracts awarded, services issued, and similar
transactions.
Along with the DS-2028, the grantee is to provide the post with a copy of
supporting documentation such as contracts, purchase orders, scholarship
awards, etc., for obligations made during the period covered by each annual
report. The documentation and Federal Assistance Award Form 1909 (with
attachments) shall be retained by the post until the expiration of three (3)
years after the final or terminal payment under the grant is made. The
documentation shall be made available to A/OPR/OS, the Department's
Inspector General's office, and/or the Comptroller General of the United
States, or any of their authorized representatives as may be necessary,
upon request.
DS-2028
04-2007

Enter the total amount reimbursed to the school by the post for the grant
to date.

Column 7 - Advance of Funds (If any)
In those rare instances in which advances of any funds from the grant
have been approved by the post, enter the amount(s) of advances
received to date.

Column 8 - Liquidation of Advances (If any)
As school incurs valid expenses and submits vouchers with receipts to
apply against (i.e. liquidate) any advance, enter total amount of any such
vouchers submitted to date.
At posts where a fluctuating rate of exchange may result in apparent
discrepancies between the "Amount Authorized" and "Total Obligated" or in
other difficulties in reporting, grantee is requested to add a footnote of
explanation. The person preparing the report on behalf of the school should
certify that the report is correct by signing at the appropriate place at the
bottom of the form.
INSTRUCTION FOR POST
The post Administrative Officer or his/her designee must approve the report
and verify by signing the form that the information prepared and presented by
the school is consistent with post records concerning the grant. If there are
discrepancies or errors, the post will resolve those with the grantee before
signing and transmitting the report to the Department. After the post has
completed its verification process, a copy of the signed DS-2028, should be
forwarded to the Department and a copy retained by the post for its grant
records.
Instruction Page 1 of 1

U.S. Department of State

OMB APPROVAL NO. 1405-0033
EXPIRATION DATE: 04-30-2010
*ESTIMATED BURDEN: 15 MINUTES

OVERSEAS SCHOOLS - GRANT STATUS REPORT
(In U.S. Dollars)

Name of School

Award Number

Date of Preparation (mm-dd-yyyy)

City and Country

Date of Execution (mm-dd-yyyy)

Type of Report
Annual for Period ending March 31, (yyyy)

Date(s) of Amendment(s)

Final

Termination Date of Grant (mm-dd-yyyy)
School Submitted Vouchers
for Reimbursement
Purpose
(1)

Amount
Authorized
(2)

Total
Obligated
(3)

Balance
Unobligated
(4)

Total
Requested
(5)

Total
Received
(6)

Advance of Funds
(If any)
Total
Advanced
(7)

Total
Liquidated
(8)

Certified Correct:
Approved and Verified by:
For Grantee: Signature and Title
DS-2028
04-2007

(Formerly JF-61)

Post Reviewing Officer's Name and Title

Date (mm-dd-yyyy)

*Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time required for searching existing data sources, gathering the necessary data, providing the
information required, and reviewing the final collection. Persons are not required to provide this information in the absence of a valid OMB approval number. Send comments on the accuracy of this estimate of
the burden and recommendations for reducing it to: the U. S. Department of State (A/ISS/DIR) Washington, DC 20520.

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