Orr-2

ORR-2, Quarterly Report on Expenditures and Obligations

CMA ORR-2.xlsx

OMB: 0970-0407

Document [xlsx]
Download: xlsx | pdf
OFFICE OF REFUGEE RESETTLEMENT
CASH AND MEDICAL ASSISTANCE PROGRAM
ORR-2 QUARTERLY REPORT ON EXPENDITURES AND OBLIGATIONS
OMB 0970-0407
Expires XX/XX/XXXX















1 Federal Agency and Organization Element to Which Report is Submitted 2. Grant Document/Award Number 3. EIN
































4. Grantee Recipient Organization Name and Address Grantee Name 2































Address Line 1 Address Line 2































City State Zip Code Zip Ext.

































5a. Project/Grant Period
Start Date:
5b. Project/Grant Period
End Date:
6a. Reporting Period
Start Date:
6b. Reporting Period
End Date:
7. Final Report?
(Yes or No)



































Cash and Medical Assistance
Program Components
(Column A)
Total Cumulative
Expenditures
(Column B)
Total Cumulative
Unliquidated
Obligations
(Column C)
Total Expenditures
and Unliquidated Obligations
(Column D)
Federal
Funds
Authorized
(Column E)
Unobligated
Balance
(Column F)















1. Refugee Cash Assistance (RCA) (a) RCA Recipient Costs



















(b) RCA Administration



















(c) Subtotal



















2. Refugee Medical Assistance (RMA) (a) RMA Recipient Costs



















(b) RMA Administration



















(c) Medical Screening



















(d) Medical Screening Administration



















(e) Subtotal



















3. Unaccompanied Refugee Minors (URM) (a) Services for URMs



















(b) URM Program Administration



















(c) Subtotal



















4. Administration - Planning and Coordination



















5. Total Administration



















6. Total



















7. Remarks:































Certification: I certify that, to the best of my knowledge, all expenditures and obligations are for the purpose set forth in the award documents.






























8. Name and Title of Approving Official 9. Telephone Number































10. Email Address






























11. Signature of Approving Official 12. Date Report Submitted

































































































































































































































































































































































File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy