Form 1122-0034 STOP Match Worksheet

STOP Formula Grant Program Match Documentation Worksheet

STOP Match Caluculation - Update 4-08-2020.xlsx

STOP Formula Grant Program Match Documentation Worksheet

OMB: 1122-0034

Document [xlsx]
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Overview

STOP Match Calculation
Sheet1


Sheet 1: STOP Match Calculation




STOP Match Calculation Worksheet







The STOP Program statute requires a match of 25% on grant funds under the program to each state (territories are exempted). However, match is exempted for subawards to tribes and subawards to victim service providers for victim services. Thus, the amount of match owed is one third of the total award minus any subawards to victim service providers for victim services or to tribes. The purpose of this form is to document the amount of funds that supported sub-awards to victim services providers for victim services and to tribes, so states may accurately calculate their match requirement for each STOP Program award. States should complete this worksheet during the closeout period for each award. The worksheet must be submitted with the closeout packet. Please note, the Program Manager will request the worksheet if it is not submitted with the closeout packet. Awards cannot be closed without a completed Match Worksheet. Please note: All yellow cells require user input.






Award Number



Grantee Name



State Please select a state


Total Amount Spent



Total Sub-awards to Victim Service Providers for Victim Services or to Tribes



Percentage of Sub-awards for Victim Services or Tribes #DIV/0!






Award Amount Minus Total Sub-awards to Victim Service Providers for Victim Services or to Tribes $0.00


Funds that Must be Matched $0.00


Amount of Waiver Applied







Match Amount (1/3 of Funds that Must be Matched) $0.00


Actual Match Amount







Stop Administrator Printed Name:


























Public Reporting Burden - Paperwork Reduction Act Notice



Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. OVW tries to create forms and instructions that are accurate, can be easily understood, and impose the least possible burden on applicants. The estimated average time to complete and file this form is 30 hours. Comments regarding the accuracy of this estimate or suggestions for simplifying this form can be submitted to the Office on Violence Against Women, U.S. Department of Justice, 145 N Street, NE, Washington, DC 20530.































































































































































































Sheet 2: Sheet1




STOP Match Calculation Worksheet







The STOP Program statute requires a match of 25% on grant funds under the program to each state (territories are exempted). However, match is exempted for subawards to tribes and subawards to victim service providers for victim services. Thus, the amount of match owed is one third of the total award minus any subawards to victim service providers for victim services or to tribes. The purpose of this form is to document the amount of funds that supported sub-awards to victim services providers for victim services and to tribes, so states may accurately calculate their match requirement for each STOP Program award. States should complete this worksheet during the closeout period for each award. The worksheet must be submitted with the closeout packet. Please note, the Program Manager will request the worksheet if it is not submitted with the closeout packet. Awards cannot be closed without a completed Match Worksheet. Please note: All yellow cells require user input.






Award Number



Grantee Name Please enter grantee name


State Please select a state


Total Amount Spent



Total Sub-awards to Victim Service Providers for Victim Services or to Tribes



Percentage of Sub-awards for Victim Services or Tribes #DIV/0!






Award Amount Minus Total Sub-awards to Victim Service Providers for Victim Services or to Tribes $0.00


Funds that Must be Matched $0.00






Match Amount (1/3 of Funds that Must be Matched) $0.00






Stop Administrator Printed Name:


























Public Reporting Burden - Paperwork Reduction Act Notice



Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. OVW tries to create forms and instructions that are accurate, can be easily understood, and impose the least possible burden on applicants. The estimated average time to complete and file this form is 30 hours. Comments regarding the accuracy of this estimate or suggestions for simplifying this form can be submitted to the Office on Violence Against Women, U.S. Department of Justice, 145 N Street, NE, Washington, DC 20530.










































































































































































































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