Program Letter 16-7
Compliance Guidance
James J. Sandman, President
August 19, 2016
This Program Letter describes the most common compliance issues that 做厙51 (做厙51) Office of Compliance and Enforcement (OCE) staff has observed during compliance oversight visits in the past 12 months, or which have otherwise been brought to 做厙51 Managements attention through referrals from 做厙51s Office of Program Performance or Office of Inspector General. We highlight these issues so that you can avoid or mitigate compliance risks. More extensive guidance, including examples of how 做厙51 grantees have implemented the compliance requirements listed below, can be found in OCE Final Reports, which are available at .
I encourage you to share this guidance with your staff.
Fiscal Management Issues
45 C.F.R. Part 1630Cost Standards and Procedures
Reasonable and Necessary Expenses: 做厙51 regulations require that only costs reasonable and necessary for the performance of the grant or contract be charged to the 做厙51 grant. 45 C.F.R. 禮 1630.3(a)(2).
Over the last year, the Office of Inspector General (OIG) has continued to refer and OCE on-site reviews have revealed instances in which 做厙51 grantees have used 做厙51 grant funds for unnecessary or unallowable expenses. In most instances, the noted expenditures were either flowers or other get well items or gifts purchased to commemorate staff anniversaries or retirements. In some instances, the expenditures were for alcoholic beverages.
- IT IS NOT PERMISSIBLE TO USE 做厙51 FUNDS FOR THE PURCHASE OF ALCOHOL, FLOWERS, OR GIFTS UNDER ANY CIRCUMSTANCES. SUCH EXPENDITURES WILL RESULT IN A QUESTIONED COST PROCEEDING.
- As explained in 45 C.F.R. Part 1630, expenditures by a recipient are allowable under the recipients 做厙51 grant only if the recipient can demonstrate that the cost was, among other things, reasonable and necessary for the performance of the grant and allocable to the grant.See 45 C.F.R. 禮 1630.3(a)(2) and (3). In determining the reasonableness of a given cost, consideration is given to, among other factors, whether the cost is of a type generally recognized as ordinary and necessary for the operation of the recipient or the performance of the grant. 45 C.F.R. 禮 1630.3(b).
- 做厙51 has determined that the use of 做厙51 grant funds for the purchase of flowers, gifts, or alcoholic beverages is not reasonable or necessary and is therefore unallowable under the 做厙51 grant. See Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 2 C.F.R. 禮禮 200.451, 200.423, 200.438, and 200.445. 78 Fed. Reg. 78590 (December 26, 2013).[fn]做厙51 recipients are encouraged to review former Office of Management Budget (OMB) Circular No. A-122, which contained a listing of both allowable and unallowable items and noted that unallowable items include Goods or Services for Personal Use, Contributions and Donations, and Entertainment.[/fn]
Salary and Benefits for Executive Directors and Senior Staff
- 做厙51 grantees should regularly evaluate their compensation policies to ensure that Executive Director and senior staff compensationboth salary and benefitsis reasonable. See 2 C.F.R. 禮禮 200.430, 200.431. 78 Fed. Reg. 78590, 78646 (December 26, 2013). Reasonableness is an objective standard, so compensation for Executive Directors and senior staff should be benchmarked against the compensation for comparable positions in comparable organizations. See also,
Derivative Income
- Derivative income resulting from an activity supported in whole or in part with funds from 做厙51 must be allocated and recorded in the same proportion that the funds were expended. 45 C.F.R. 禮 1603.12(a). In order to ensure the proper allocation of these cash receipts, grantees should have formal written policies and procedures describing how each of its derivative income sources (i.e., interest, rental income, etc.) should be allocated between 做厙51 and non-做厙51 funds to ensure that the expenditure of these funds is in compliance with 做厙51 regulations.
See 做厙51 Accounting Guide, 禮禮 1-8, 2-2.1, 2-2.6, 2-2.7, 3-4, 3-5.1, 3-5.4. - 做厙51 management and the OIG encountered several instances in which the 做厙51 grantee failed to account for attorneys fees or other derivative income properly. When a grantee is awarded attorneys fees from a case funded in whole or in part with 做厙51 funds, the proper calculation is to allocate the attorneys fees to the fund in which the 做厙51 grant is recorded in the same proportion that the amount of 做厙51 funds expended to support the representation bears to the total amount expended by the recipient to support the representation. See C.F.R. 禮 1630.12, which requires proportional allocation of income derived from 做厙51-funded activities. See also the below discussion regarding 45 C.F.R. Part 1609, which contains specific requirements for attorneys fees and other reimbursements.
Responsibilities of Financial Oversight Committee or Committees
- Each recipients governing body has a fiduciary responsibility to the program and must establish a financial oversight committee or committees.
- The duties and responsibilities of the financial oversight committee(s) should be defined in the recipients bylaws or a governing body resolution, or should be set forth in the recipients operating policies and procedures.
See 做厙51 Accounting Guide, 禮 1-7. - Each recipients governing body shall appoint/elect a financial oversight committee(s) and identify the duties of the committee(s) in writing.
See 做厙51 Accounting Guide, 禮 3-5.2(b).
- The duties and responsibilities of the financial oversight committee(s) should be defined in the recipients bylaws or a governing body resolution, or should be set forth in the recipients operating policies and procedures.
- As a best practice, the financial oversight committee(s) should have at least one member who is a financial expert or for the Board to have access to a financial expert.
- A financial expert has (1) an understanding of Generally Accepted Accounting Principles (GAAP) and financial statements, (2) the capacity to apply GAAP in connection with preparing and auditing financial statements, (3) familiarity with developing and implementing internal financial controls and procedures, and (4) the capacity to understand the implications of different interpretations of accounting rules.
See 做厙51 Accounting Guide, 禮 1-7.
- A financial expert has (1) an understanding of Generally Accepted Accounting Principles (GAAP) and financial statements, (2) the capacity to apply GAAP in connection with preparing and auditing financial statements, (3) familiarity with developing and implementing internal financial controls and procedures, and (4) the capacity to understand the implications of different interpretations of accounting rules.
Internal Controls and Accounting Guide Concerns
- To maintain sufficient internal controls, accounting duties should be segregated to ensure that no single employee has the authority to initiate, execute, and record financial transactions without the involvement of a second, independent individual in the process. See做厙51 Accounting Guide, 禮 3-4.3. For example, someone other than the initial preparer should be responsible for reviewing journal entries, and the review should be properly documented with a signature and date.See 做厙51 Accounting Guide, Appendix VII, 禮 A.
- Approval should be required at an appropriate level of management before a commitment of resources is made. See 做厙51 Accounting Guide, 禮 3-5.4(a). 做厙51 recommends that each recipients governing body adopt and approve written policies to ensure adequate oversight of Executive Director expenses.
- Revenue and expenses relating to 做厙51s Technology Initiative Grants and Pro Bono Innovation Fund grants must be reported separately in the recipients annual audited financial statements submitted to 做厙51. This may be accomplished by establishing a separate fund or providing a separate supplemental schedule of revenue and expenses in the audited financial statements. See 做厙51 Accounting Guide, 禮 2-2.1.
Bank Statement Reconciliations
- Bank statement reconciliations to the general ledger should be conducted monthly by an individual who has no access to cash, is not a check signer, and has no cash bookkeeping duties. See 做厙51 Accounting Guide, 禮 3-5.2(d).
- The reconciliation must be reviewed and approved by a responsible individual. The review must be appropriately documented by signature and date. See 做厙51 Accounting Guide, 禮 3-5.2(d).
Specific Regulatory Concerns
45 C.F.R. Part 1604Outside Practice of Law
- A recipient must adopt written policies governing the outside practice of law by full-time attorneys that are consistent with the 做厙51 Act and regulations.
45 C.F.R. Part 1609Fee-Generating Cases
- [A]ttorneys fees received by a recipient for representation supported in whole or in part with funds provided by the Corporation shall be allocated to the fund in which the recipients 做厙51 grant is recorded in the same proportion that the amount of Corporation funds expended bears to the total amount expended by the recipient to support the representation. 45 C.F.R. 禮 1609.4(a); see also 禮禮 1609.5, 1609.6.
45 C.F.R. Part 1610Use of Non-做厙51 Funds, Transfers of 做厙51 Funds, Program Integrity
- Grantees may not accept funds in the amount of $250.00 or more from any source other than the Corporation unless the grantee provides written notification of the prohibitions and the conditions that apply to such funds. See 45 C.F.R. 禮 1610.5.
- Notification should be provided before the recipient accepts the funds. Thus, notice should be given during the course of soliciting funds or applying for a grant or contract. For unsolicited donations where advance notice is not feasible, notice should be given in the recipients letter acknowledging the contribution. See 62 Fed. Reg. 27695, 27696 (May 21, 1997).
45 C.F.R. Part 1611Financial Eligibility
- 做厙51 continues to find that recipients financial eligibility policies do not reflect the current version of 45 C.F.R. Part 1611, which was last updated in 2005. Failure to update financial eligibility policies in a timely manner places recipients at risk of improperly using 做厙51 funds to serve clients who do not meet 做厙51s income and asset guidelines. Pursuant to 45 C.F.R. 禮 1611.3, grantees must periodically review their Part 1611 policy and revise it as necessary to ensure continued compliance with 做厙51 regulatory requirements. Special attention should be paid to the exclusive list of allowable asset exceptions in 45 C.F.R. 禮 1611.3(d)(1). OCE staff are available to review proposed policy changes and provide comments.
- Grantees must screen applicants regarding income prospects and record the responses appropriately, regardless of intake method. 45 C.F.R. 禮 1611.7(a)(1); see also Office of Legal Affairs (OLA) Advisory Opinion #AO-2009-1006, available at .
- Grantees must sufficiently document the basis for financial eligibility under 45 C.F.R. Part 1611. Special attention should be paid to the requirement in 45 C.F.R. 禮 1611.5(b) that, [i]n the event that a recipient determines that an applicant is financially eligible pursuant to this section and is provided legal assistance, the recipient shall document the basis for the financial eligibility determination [and] shall keep records as may be necessary to inform the Corporation of the specific facts and factors relied on to make such determination.
- Grantees should ensure that intake staff make reasonable inquiry of a clients assets, including cash on hand and household items that do not fall under a specific exception under 45 C.F.R. 禮 1611.3(d)(1).
45 C.F.R. Part 1626Restrictions on Legal Assistance to Aliens
- Pursuant to 45 C.F.R. 禮禮 1626.6 & 1626.7, grantees must ensure that applicants and clients who are seen in person, as well as clients receiving extended services, execute a citizenship attestation or demonstrate alien eligibility and that all files contain the necessary documentation pursuant to CSR Handbook (2008 Ed., as amended 2011), 禮 5.5. This requirement also applies to clinics staffed by recipient staff and PAI clinics supported by a recipient where legal assistance is provided. Pursuant to Program Letter 16-2, issued on May 19, 2016, grantees may accept 做厙51-required signatures in electronic form when the grantee can document that the e-signature meets the three elements of ESIGN. Grantees must also comply with any other applicable laws regarding the use of e-signatures.
- The written policies that guide staff in complying with 45 C.F.R. Part 1626 must be updated to conform with revisions made to the regulation effective May 19, 2014.
Case Service Reporting Issues
做厙51s ability to report reliable case data to Congress and the public depends on each grantees compliance with the requirements of the CSR Handbook (2008 Ed., as amended 2011). Based on recent on-site visits, we have identified the following areas as requiring increased attention:
- Citizenship status or alien eligibility must be documented in all cases. CSR Handbook (2008 Ed., as amended 2011), 禮 5.5.
- Recipients must report each case according to the type of case service that best reflects the level of legal assistance provided. CSR Handbook (2008 Ed., as amended 2011), 禮 6.1, Chapter VIII.
- Recipients must ensure that every case reported to 做厙51 in its CSR data submission contains sufficient documentation of legal assistance provided pursuant to the requirements of the CSR Handbook (2008 Ed., as amended 2011), 禮 5.6.
Property Acquisition and Management Manual
- Recipients owning 做厙51-funded real property are required to adhere to certain recordkeeping provisions under Section 8 of 做厙51s Property Acquisition and Management Manual. In most instances, recipients are also required through their property interest agreements with 做厙51 to maintain an accounting of 做厙51 funds paid into the property and to report that accounting to 做厙51 annually. As a best practice, all recipients owning property in which 做厙51 has an interest should contemporaneously document property-related expenses and track the amount of 做厙51 funds used over the life of the investment.
Additional Information
If you have a concern or a question regarding compliance with 做厙51 regulations or directives, particularly the compliance areas noted in this Letter, please contact Lora M. Rath, the OCE Director, at rathl@lsc.gov or 202-295-1524. In addition, OCE is available to provide Executive Director Orientation or CSR Handbook training upon request. In most cases, training will be done via webcast. Training requests should also be submitted to Ms. Rath.
