Limited Scope Administrative and Financial Review Questionnaire <br />for EPA Assistance Agreement Desk Reviews <br />Introduction <br />Thank you for assisting EPA with our review by completing this questionnaire. The questionnaire asks about <br />your organization’s administrative and financial policies and procedures. Some of the questions require you <br />to provide copies of your policies and procedures for review. Also, some financial drawdowns have been <br />identified for review in Section IX. Please provide copies of the requested policies and procedures and the <br />source documents to support the selected draws with the completed questionnaire. <br />This questionnaire requires “Yes” or “No” responses. Please check the appropriate box for each question. In <br />some cases, a written response is required, please type or write your responses in the question box. You <br />may also include or attach additional sheets if necessary to provide a full response. <br />City of Eugene, 99 East Broadway Ste 400, Eugene, OR 97401 <br />Recipient Name <br />and Address: <br />Responding Individual(s): <br />Name Title PhoneE-mail <br />Number <br />Financial Analyst 541-682-Tammy.d.smith@ci.eugene <br />Tammy Smith 5834.or.us <br />Signature of Responsible Official Date <br />The Code of Federal Regulations (Title 40) and OMB Cost Principles require organizations receiving Federal <br />assistance agreements to have written policies and procedures. Below are links to the regulations and OMB <br />Cost Principles that apply to each type of recipient. Links are also provided in the heading for each section <br />below. <br />Recipient TypeEPA RegulationsOMB Cost Principles <br />States, Local Governments, and <br />40 CFR Part 35,A-133 for audit requirements <br />Indian Tribes <br />40 CFR Part 312 CFR Part 225 <br />Educational Institutions <br />40 CFR Part 30A-133 for audit requirements <br />2 CFR Part 220 <br />Non-Profit Organizations <br />40 CFR Part 30A-133 for audit requirements <br />2 CFR Part 230 <br />OMB Control No. 2030-0020 1 <br />Expiration date 4/30/12 <br /> <br />