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If no, the state program is not a State Project and should not be included in the CSFA. If yes, the state program must be evaluated using the following criteria. Yes No X A. Does the state program establish programmatic objectives, which must be met by the non -state organization in order for it to receive State resources? (e g legislative intent, programmatic outcomes/goals, or are related to the Agency's mission) X B Does the state program provide resources to enhance or support the operations or programs of a non - state organization? _ X C Does the state program provide resources to a non -state organization for providing a program service? (i a Are the services provided by the non -state organization consistent with the programmatic objectives?) _ X D Does the state program contain specific laws, guidelines or regulations regarding allowable program expenditures? If any of A -D above is yes, the state program is a State Project and must be assigned a CSFA number Based on your analysis above and discussions with appropriate agency personnel, state your conclusion regarding the state program. (Check one) A State Project: Not a State Project: X Comments: Completed By: (Program Personnel) Print Name Phone Number- umberTitle Title Signature. Date. Budget Office Review: (Applies only to Questions 1-4) Print Name of Reviewer: Phone Number- umberTitle. Title. Signature of Reviewer Date. Finance and Accounting Review: (Applies only to Question 3 A -C and Question 4 A -D) Print Name of Reviewer Phone Number- umberTitle. Title. Signature of Reviewer- Date. Office of Inspector General Receipt: Print Name of Receiver Phone Number- umberTitle. Title. Signature of Receiver Date. Questions regarding the evaluation of a state program or if it has been determined that the state program is a State Project and has not been assigned a CSFA number, contact your FSAA State agency liaison or the Executive Office of the Governor, Office of Policy and Budget (OPB), Budget Management Policy Unit (BMP) at (850) 487-1880 or Suncom 277-1880 The Agency's Office of Inspector General, must forward each original completed and approved checklist, to the Executive Office of the Governor, OPB, BMP, Room 1703, The Capitol, Tallahassee, Florida 32399-0001. Reference may be made to Rule 27D-1, FAC Revised January 01, 2002 Form Number FSAA CL1