Village Panchayat Questionnaire - Department of … Village Panchayat Questionnaire S.No Topic /...

QUESTIONNAIRE

Village Panchayat Questionnaire S.No Topic / Subtopic Name Question Description Marks

1 Panchayat functioning/Panchayat functioning Please provide following information regarding meet ings of Gram Panchayat: 2 No. of mandated meetings in a year: No. of meetings held in FY 2013-14 :

2 Panchayat functioning/Panchayat functioning Provide the following information about the total number of mem bers attended the first meeting of Gram Panchayat

in every quarter ( ie first meeting in in months of April, July, October and January) on FY 2013-2014: Date Total no of members Total no of members attended

April Quarter

July Quarter

October Quarter

January Quarter 3 Panchayat functioning/Panchayat functioning Provide the following information about the total n umber of SC/ST members attended the first meeting o f Gram

Panchayat in every quarter ( ie first meeting in in months of April, July, October and January) on FY 2013-2014:

1 1

Date Total no of SC/ST members No of SC/ST members attended

April Quarter

July Quarter

October Quarter

January Quarter

4 Panchayat functioning/Panchayat functioning Provide the following information about the total n umber of Women attended the first meeting of Gram P anchayat 1

in every quarter ( ie first meeting in in months of April, July, October and January) on FY 2013-2014:

Date Total no of women No of women attended

April Quarter

July Quarter

October Quarter

January Quarter

5 Panchayat functioning/Panchayat functioning In how many meetings were decisions taken by vote o r consensus after discussion? 1

12/12/2013 13:16:51page 1 of 11 pd4ml evaluation copy. visit http://pd4ml.com Grand NOTE: FY 2012-13 with FY 2013-1414 when ever applicable.

Comment:

Only one row needed.

QUESTIONNAIRE No. of mandated meetings in a year No of meetings in which decisions taken by vote or consensus after discussion

6 Panchayat functioning/Panchayat functioning For how many meetings were minutes recorded? 1

No. of mandated meetings in a year No of meeting in which minutes recorded

7 Panchayat functioning/Panchayat functioning Please tick mark if resolution were passed or decis ion were taken on the following issues during FY 2013 -14 : a.

Approval of budget/ plan b. Review of Schemes c. Ed ucation d. Livelihood e. Nutrition f. Health g. Wom en issues h. 3 SC/ ST issues i. Child care issues j. Sanitation k. road/ connectivity l. Streetlights m. Water

Less than 3 issues

3-6 issues

7-11 issues

More than 11 issues 8 Panchayat functioning/Panchayat functioning If any of the powers of Gram Panchayat been revoked for irregularity or illegality in 2013- 14? 1

None

1 or more 9 Panchayat functioning/Funtioning of Gram Sabha Please provide following information regarding meet ings of the Gram Sabha: 1

No. of mandated meetings in a year: No. of meetings held in FY 2013-14 :

10 Panchayat functioning/Funtioning of Gram Sabha How many Gram Sabha Meetings were adjourned due to lack of quorum in FY 2012- 13-? 1

Less than 2

2 or more

12/12/2013 13:16:51page 2 of 11 pd4ml evaluation copy. visit http://pd4ml.com

Comment:

Name of Revenue Village

Option for inserting new rows or maximum of 20 rows. Name

of the village will be the first column followed by No of

mandated meetings in years and so on.

Comment:


Comment:


QUESTIONNAIRE 11 Panchayat functioning/Funtioning of Gram Sabha For last two Gram Sabha meetings give the following information: Total No. of persons who attended:

Date Total no of members Total no of members attended

Meeting 1

Meeting 2

12 Panchayat functioning/Funtioning of Gram Sabha For last two Gram Sabha meetings give the following information: Total No. of SC/ST who attended: Date Total no of SC/ST members No of SC/ST members attended

Meeting 1

Meeting 2

13 Panchayat functioning/Funtioning of Gram Sabha For last two Gram Sabha meetings give the following information: No. of women who attended: Date Total no of women No of women attended

Meeting 1

Meeting 2

14 Panchayat functioning/Funtioning of Gram Sabha In which schemes were beneficiaries selected by Gra m Sabha in FY 2013-14? Indira Awas Yojana ,Old age pension Scheme ,Widow Pension ,Scheme ,Disability Pension S cheme ,Family Benefit Scheme , Annapurna Scheme

5 and more

1-4

None 15 Panchayat functioning/Functioning of Gram Sabha For how many Gram Sabha meetings were minutes kept In FY 2013-14?

No. of mandated meetings in a year: No of meetings in which minutes were kept

16 Panchayat functioning/Funtioning of Gram Sabha Has the Gram Sabha conducted social audit during FY 2013-14? a. For NREGA b. Any other Central and State

Schemes

If Yes in both If Yes in one If No in both:

17 Panchayat functioning/Functioning of Standing Committee Have the required no. of Standing Committees/ Funct ional Committee mandated by Panchayati Raj Act been formed?

Yes No

18 Panchayat functioning/Functioning of Standing Committee How many Standing Committee/ Functional Committee m eetings were held in FY 2013-14? Pl. provide follow ing information:

2 2 2

2 2 2 1

1


Comment:

At least ten boxes with option of inserting rows , if

required.

QUESTIONNAIRE Name of Standing Committee No. of meetings mandated No. of meetings held

19 Management of Personnel and Capacity Building/Training

of ERs and functionaries

20 Management of Personnel and Capacity

Building/Attendance of officials in Panchayat Meeting 21 Management of Personnel and Capacity Building/Review

of work of officials

22 Planning and budget formulation/Preparation of annual plan

23 Planning and budget formulation/Preparation of annual plan

24 Planning and budget formulation/Process of preparation

of annual plan


of annual plan


of annual plan


of annual plan

Have all elected representatives and functionaries attended at least one training programme? 2

All

Some

None Do officials attend meetings of Gram Panchyat? 2

All

Some

None If officials attend meetings of Gram Panchyat, then does Gram Panchayat review work of officials? 1

Yes

No Was the annual plan of the Gram Panchayat the prepa red for FY 2013-14? 1

Yes

No Was the annual plan of the Gram Panchayat submitted to next level within Time? 1

Yes

No Was the annual plan discussed in Gram Sabha? 1

Yes

No Were suggestions of the Gram Sabha incorporated? 1

Yes

No Were other stakeholders groups such as farmers, wom en groups, youth groups CBOs and NGOs consulted? 1

Yes

No Was convergence with departmental plans/ schemes en sured in preparation of annual plan? 1


There are 7 standing committees at per JPRA ACT

2001.Hence; at least seven rows are needed.

QUESTIONNAIRE Yes

No 28 Planning and budget formulation/Budget formulation Was a budget prepared as per norms and in time for FY 2013-14? 1

Yes

No 29 Planning and budget formulation/Budget formulation Was gender budget prepared for FY 2013-14? 1

Yes

No 30 Income generation/Planning for own income What is the total income from own sources? 2

Total income in FY 2013-14 Total income in FY 2013-12

31 Income generation/Planning for own income Whether any income generating assets created in panchayat in FY 2013 -14? 1

Yes

No 32 Income generation/Collection of dues Please provide the following with respect to taxes that the Gram Panchayat is authorized to collect 4

Name of Tax Total Arrears due 1.4.2013 Arrears Amount collected in 2013-14

33 Income generation/Collection of dues Please provide information about income other than taxes of the Gram Panchayat in FY 2011 -12 and FY 2013-14 as 2

follows

Source of income Income in 2012-13 Income in 2013-14


QUESTIONNAIRE 34 Income generation/Voluntary contributions generated in form Did the Gram Panchayat generate any income from vol untary contributions in the form of labour, cash or kind in FY

of money or kind or labour 2013-14? If so, describe:

Yes

No 35 Performance/Physical achievements in schemes Please provide the targets achieved in schemes impl emented by the Gram Panchayat in FY 2013-14 as foll ows:

Name of scheme Central Govt./State Govt./Other Physical target Achievement

1 4

36 Performance/Expenditure against allotment in schemes Please provide the expenditure against the allotmen t available in each scheme of the Gram Panchayat in FY 2013 - 4

14 as follows:

Name of scheme

Central Govt./State Govt./Other

Allotment available to Gram Amount spent

Panchayat

37 Performance/Expenditure on SC and ST Utilization of funds allocated for SC/ST: 2 Total funds earmarked for SCs and STs in all Schemes: Actual Allocation: Actual Expenditure:

38 Performance/Expenditure for women development Total non establishment expenditure on women develo pment programs against allocation of Panchayat in F Y 2013- 2

14:

Total funds allocated: Actual Expenditure on women development programmes:


No. of Schemes varies Panchayat to Panchayat

.Hence, give option to add more schemes

dynamically.

QUESTIONNAIRE

39 Performance/Untied funds expenditure Please provide following information about untied f unds in the Panchayats in 201 3-14: 1

Source from which fund is Amount of fund available in FY Amount spent in FY 2014-14 Purpose of expenditure (Please

available 2013-14 give amounts)

40 Performance/Untied funds expenditure Whether untied funds spent to address needs of SC's /ST's/ Women? 1

Yes

No 41 Performance/Untied funds expenditure Whether untied funds spent on basic needs such as d rinking water /drainage/ sanitation ? 1

Yes

No 42 Performance/Performance of civic duties Does the Gram Panchayat provide for safe drinking w ater supply to 100% households? 1

Yes

No 43 Performance/Performance of civic duties Does the Gram Panchayat provide streetlight to 100% area? 1

Yes

No 44 Performance/Performance of civic duties Percentage of household in GP covered by individual household electricity connection 1

Total no of household No of household with electricity connection

45 Performance/Performance of civic duties Does the Gram Panchayat provide drainage facility to 100% area? 1

Yes

No 46 Performance/Performance of civic duties Has the Gram Panchayat got Nirmal Gram Puruskar? 1


QUESTIONNAIRE Yes

No 47 Performance/Performance of civic duties Has the Gram Panchayat registered 100% birth and de ath cases? 1

Yes

No 48 Performance/Performance of civic duties Does Gram Panchayat have 100% of its lanes pucca/ k haranja? 1

Yes

No 49 Performance/Education Has the Gram Panchayat ensured 100% enrollment in s chools of children in GP area between 6-14 years of age 1

Yes

No 50 Performance/Child Nutrition Percentage of targeted children in GP area enrolled and attending ICDS centers on regular basis 1

No ofchildren enrolled No of children attending ICDS centers on regular basis

51Performance/Child Nutrition Percentage of targeted women in GP area (pregnant & nursing) are getting the benefits from ICDS center s 1 Total no of women Noof women benefited from ICDS centres

52 Performance/Health Percentage coverage of complete immunization of chi ldren below between 0 -5 year age group in GP area 1

Total no of children between 0-5 years Immunisation of children between 0-5 year of age


If no then present percentage.

QNo 47 to QNo 49.

QUESTIONNAIRE 53 Performance/Health Percentage of institutional delivery during FY 201 3-14 :

Total no of women enrolled No of institutional delivery during FY 2012\13-14

54 Performance/Environment protection Has Gram Panchayat undertaken plantation on its own or in collaboration with forest department and com munity in

GP area? Please describe in 2-3 lines

55 Performance/Environment protection Has GP taken initiative to prevent air, water and l and pollution in GP area? Please describe in 2-3 li nes

56 Performance/Gender Has GP taken initiative to improve child sex ratio in GP area including preventing female feticide and infanticide?

Please describe in 2-3 lines

57 Performance/Gender Has GP taken initiative to curb domestic violence, dowry etc? Please describe in 2-3 lines

58 Performance/Strengthening local institutions Has Gram Panchayat taken initiative to improve teac hers attendance in Schools

Yes No

59 Performance/Strengthening local institutions Has GP contributed in creating school infrastructur e e.g. classrooms, toilets etc.? Please describe in 2-3 lines

60 Performance/Strengthening local institutions Has GP taken initiative to improve functioning of P DS fair price shops? Please describe in 2-3 lines

61 Performance/Special initiatives taken by the Panchayat Has the GP made efforts to improve lives of any of the following: (i) SC/ST, (ii) Physically challenge d persons (iii)

BPL families (iv) Bonded/ Child labour (v) poor wom en (vi) HIV + persons (vii) any other (specify). Pl ease describe efforts in 2-3 lines.

1 1 1 1 1

1 1

1 4


QUESTIONNAIRE

62 Performance/IEC Initiative Has the Gram Panchayat taken initiative to inform a nd educate people on social issues, local issues et c in FY 2013- 2

14. Please describe in 2-3 lines

63 Accountability and transparency/Maintenance of Accounts Are Gram Panchayat accounts maintained in the forma t prescribed by the Government? 1

Yes

No

64 Accountability and transparency/Maintenance of Accounts Are Gram Panchayat accounts updated and authenticat ed? 1

Yes

No

65 Accountability and transparency/Maintenance of Accounts Are Gram Panchayat accounts computerized? 1

Yes

No

66 Accountability and transparency/Maintenance of Accounts Whether accounts of 2013-14 were placed before Gram Sabha/ Ward Sabha for discussion and approval? 1

Yes

No

67 Accountability and transparency/Audit Please provide information of previous audits of th e Gram Panchayat 2

Total No. of audit paras No. of audit paras complied with

68 Accountability and transparency/Grievance Redressal Please provide information regarding grievances rec eived by the Gram panchayat in 201 3-14 2 No. of grievance received No. of grievance addressed

69 Accountability and transparency/Compliance to RTI Act Please provide information regarding application un der RTI Act were received by Gram panchayat in FY 2 013-14 1


QUESTIONNAIRE Total No. of application under RTI Act were received RTI replied with requisite information

70 Accountability and transparency/Compliance to RTI Act Has important information related to BPL list, pens ioners, funds received and expenditure, list of off icials to whom

grievances are to be addressed etc. been displayed in the Gram Panchayat office and public places as p er 1 provisions of RTI Act?

YES

NO


Q71.Are Panchayat Bhawn constructed?

- Yes - No

Q72.Are Panchayat Bhawan is fully functional?

-Yes -No

Q73.Are Panchayat Bhawan has Electricity, Water Supply and Internet Connection.

-Yes -No

Q74.Are Caste , Income , Residential Certificate is Issued by GP / CSC at Panchayat?

-Yes -No

Q75.Do Panchayat Functionary resides in Panchayat Bhawan / Panchayat Head Quarter?

-Yes -No

Q76. Do Mukhia resies in Panchayat?

-Yes -No

Q77. Is social audit of MNERGA / BRGF done as per Government Direction?

-Yes -No

Village Panchayat Questionnaire - Department of … Village Panchayat Questionnaire S.No Topic /...

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