PEPFAR Program Expenditures

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Overview

Instructions
Metadata and Error Checks
Expenditure Template

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Sheet 1: Instructions

DS-4213 President's Emergency Plan for AIDS Relief (PEPFAR) Program Expenditures
OMB Control No. 1405-0208 OMB approval expires 03/31/2020 Burden-24 hours

This template should be used for reporting Fiscal Year 2019 (October 1, 2018 - September 30, 2019) PEPFAR program expenditures by Implementing Partners; a separate template should be completed for each separate Operating Unit (OU) and Award.

Please read through expenditure reporting guidance, instructions on this template prior to completing this form. All guidance and instructions can be found at https://datim.zendesk.com.

Public reporting burden for this collection of information is estimated to average 24 hours per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: Office of the US Global AIDS Coordinator (S/GAC) U.S. Department of State, 1800 G Street, NW, 10th Floor, Washington, DC 20006.

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Sheet 2: Metadata and Error Checks

	METADATA
`	Federal Agency											Recipient Organization (Partner Name)
	Mechanism ID											Award Number
	Mechanism Name											OU
	Prime DUNS Number											Data Set			Expenditure
	Reporting Period		FY19
	ERROR CHECKS
	Does the Prime DUNS number fail to meet data entry criteria? (Exactly nine digits and cannot be 000000000)									Yes, the prime DUNS number fails to satisfy the data entry criteria. Use leading zeroes if necessary.
	Do program management costs still need to be entered?									Yes, program management costs still need to be entered in Intervention 1.
	Have interventions been defined with incomplete program area and beneficiary information?									No, all interventions have been fully defined.
	If yes, which intervention(s) have not been fully defined?			1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20
	Have very unlikely combinations of program area and beneficiaries been selected?									No, there are not any very unlikely combinations that have been selected.
	If yes, in which intervention(s) do very unlikely combinations exist ?			1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20
	Are there any subrecipient rows that have zero expenditures?								0	No, every subrecipient has been assigned a non-zero expenditure.
	Are there any subrecipient rows that have expenditures but are missing a DUNS number?								0	No, every subrecipient row with expenditures contains a DUNS number.
		Or are missing a subrecipient name?							0	No, every subrecipient row with expenditures contains a name.
		Or are missing both the subrecipient name and the DUNS number?							0	No, there are not any subrecipient rows with expenditures that are missing both a name and a DUNS number.
		Or used 00000000 as a DUNS number?							0	No, every subrecipient row with expenditures contains a DUNS number.
										Note:	Every subrecipient must have a valid name and DUNS number. TBD subrecipients are not permitted.
											Each DUNS number must be exactly 9 digits, including leading zeroes.
	Is there any data entered outside of the subrecipient rows that were specified?									No, there is no data that was entered outside of the specified subrecipient rows.
		Subrecipient rows created:		0
		First row that should be empty:		32
		Cells expected to be blank:		2200
		Count of blank cells after last row:		2200
		Non-blank cells after last row:		0

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Sheet 3: Expenditure Template

			Program Management	Categorization of Intervention 2	Categorization of Intervention 3	Categorization of Intervention 4	Categorization of Intervention 5	Categorization of Intervention 6	Categorization of Intervention 7	Categorization of Intervention 8	Categorization of Intervention 9	Categorization of Intervention 10	Categorization of Intervention 11	Categorization of Intervention 12	Categorization of Intervention 13	Categorization of Intervention 14	Categorization of Intervention 15	Categorization of Intervention 16	Categorization of Intervention 17	Categorization of Intervention 18	Categorization of Intervention 19	Categorization of Intervention 20
Intervention Name (optional)			Program Management
Program Area			Program Management
Beneficiary			Non-Targeted Pop: Not disaggregated
Cost Category			Program management expenditures	Expenditures against Intervention 2	Expenditures against Intervention 3	Expenditures against Intervention 4	Expenditures against Intervention 5	Expenditures against Intervention 6	Expenditures against Intervention 7	Expenditures against Intervention 8	Expenditures against Intervention 9	Expenditures against Intervention 10	Expenditures against Intervention 11	Expenditures against Intervention 12	Expenditures against Intervention 13	Expenditures against Intervention 14	Expenditures against Intervention 15	Expenditures against Intervention 16	Expenditures against Intervention 17	Expenditures against Intervention 18	Expenditures against Intervention 19	Expenditures against Intervention 20	TOTAL	% Total
Personnel: Salaries- Health Care Workers			NA																				$0	0%
Personnel: Salaries- Other Staff																							$0	0%
Fringe Benefits																							$0	0%
Travel: International Travel																							$0	0%
Travel: Domestic Travel																							$0	0%
Equipment: Health Equipment																							$0	0%
Equipment: Non-Health Equipment																							$0	0%
Supplies: Pharmaceutical			NA																				$0	0%
Supplies: Health- Non Pharmaceutical			NA																				$0	0%
Supplies: Other Supplies																							$0	0%
Contractual: Contracted Health Care Workers			NA																				$0	0%
Contractual: Contracted Interventions			NA																				$0	0%
Contractual: Other Contracts																							$0	0%
Construction																							$0	0%
Training																							$0	0%
Subrecipient Total			NA	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	0%
Other: Financial Support for Beneficiaries																							$0	0%
Other: Other																							$0	0%
Indirect Charges				NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	NA	$0	0%
Total Expenditures per Intervention (Sum of Cost Categories)			$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	$0	0%
Number of Subrecipients (0-100)
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