a c c o u n t i n g q u e s t i o n n a i r e（c c o u n t i n g问u e s t i o n n i r e）（33页）.docVIP

Child Blindness and Eye Health Grants Fund ADMINISTRATIVE PACKAGE Enclosed please find: Administrative Package Attachment 3a: Partner Contact Sheet 1 Attachment 3b: Past Performance Information Request 2 Attachment 3c: Accounting Questionnaire 3 CONTACT INFORMATION 4 SECTION A: General Information 5 SECTION B: Internal Controls 8 SECTION C: Accounting System 10 SECTION D: Funds Control 12 SECTION E: Audit 14 CHECKLIST AND SIGNATURE PAGE 15 SECTION F: Subrecipient Monitoring 16 Attachment 3d: Certificates and Assurances 19 Attachment 3e. Form 1420 28 Complete forms as requested and return to the Child Blindness and Eye Health Grants Fund by the proposal submission deadline. Administrative Package attachments do not count toward overall proposal page limit. Attachment 3a: Partner Contact Sheet Full Name of Partner Organization: ______________________________________ Contact person: ______________________________________ Title of contact person: ______________________________________ Telephone: ______________________________________ Email: ______________________________________ Fax: ______________________________________ Address: ______________________________________ Repeat information if there are multiple partners involved in contributing to the global knowledge base on effective approaches to large-scale child eye health programs. Attachment 3b: Past Performance Information Request Past Performance Information Request FOR ACADEMY FOR EDUCATIONAL DEVELOPMENT GRANT RECIPIENTS PAST PERFORMANCE INFORMATION Please provide the name of at least 3 non-United States Government donor organizations who have supported your organization in the past two years. Provide the amount of funding received and a contact name, phone number and email address. Funders will be contacted to verify that the organization has received and used grants funds in an appropriate and effective manner in the past. If you have not rece