Annexure-I
Gram Panchayat/Village Committee Assessment Schedule for Panchayat Sasaktikar Puraskar(2013-14))
(under Panchayat Empowerment and Accountability Incentive Scheme (PEAIS)
Gram Panchayat/Village Committee at a Glance
Gram Panchayat/VC: Telephone No. (With STD Code):
Block: District:
(1) Postal Address (With Pin Code)-
(2) Issues regarding Population and Literacy
Index / 2011 (ROR Updation/Revision) / 2013(Estimated Assumption)Male / Female / Total / Male / Female / Total
(a) Population
(b) Schedule Caste Population
(c) Schedule Tribe Population
(d) Minority Population
(e) Literacy Rate
From (3) to (5) will be answered according to last ROR updation/revision in 2011.
(3) Number of Families: SC- ST- Minority- Others- Total-
(a) SC BPL Families:- (b) ST BPL Families:- (c) Minority BPL Families:- (d) Others BPL Families:- (e) Total BPL:-
(4) The main source of income of the families (How many families earn from these sources): Agriculture (Including birds and fishery) -
Industry (Including Small scale and Cottage Industries) - Business -
Service (Teachery, Service etc.) - Others –
(5) Nature of House of the families (How many families live in this nature of House): Pucca - Partial Pucca
Good Kaccha House - Weak Kaccha House - Hut (In own land) - Hut (In Other land) –
No house, live in other’s shelter –
(6) Number of Voters (According to electoral roll of last Panchayat/VC Election): Male - Female - Total -
From (7) to (21) will be answered according to the condition of the date when the report is written.
(7) Number of Gram/Village Sansad –
7(A): - Constitution of Gram/Village Sansad Area:-
Gram Sansad No. / Comprising constituencies (Ward) / Electors of constituency / Total electors(8) Number of GP members - General (Male) - , General (Female)- , SC (Male)- , SC (Female)-
ST (Male)- , ST (Female)- , Total (Male)- , Total (Female)- , Total-
(9) Name of Pradhan/Chairman (with sex status) - (10) Which category does Pradhan/Chairman belong to*-
(10) Name of Upa-Pradhan/Vice-Chairman- (12) Which category does Upa-Pradhan/Vice-Chairman belong to *-
(11) Name of Panchayat Secretaries/RPS/VS--
(12) Name of GRSs-
(13) Number of Primary Schools : Total- How many has Pucca House-
How many has the provision of drinking water- How many has the sanitation facility-
(14) Number of AWC : Total- How many has Pucca House-
How many has the provision of drinking water - How many has the sanitation facility-
(15) Number of Sub-Health Centres : Total - How many has Pucca House-
How many has the provision of drinking water: How many has the sanitation facility-
(16) How many Drinking Water Spot Sources /Supply Scheme exists:- Spot Sources :- Total:- Nos.(a) OHP:- Nos. How many are functional out of them:- Nos.
(b) Mark-II/II:- Nos. How many are functional out of them:- Nos.
DTW/MDTW:- Total:- Nos. How many are functional out of them:- Nos.
(17) How many Irrigation Schemes have the GP/VC:- Total:- (A) LI:- Nos. How many functional:- Nos. (B) DTW:- Nos. How many are functional:- Nos.
(18) Total Nos. & Length of Road exists in GP/VC:- Nos. KM (a) Katcha :- Nos. KM (b) Brick Soled:- Nos. KM. (c) Black Top:- Nos. KM.
(19) Is there provision of electricity in GP office (Mark √)?- Yes No
(20) Is there computer in GP office (Mark √)? Yes No If Yes How many - How many are used out of them –
(a) In which purpose computers are used (Mark √)?- (1) N.R.E.G.S. (2) PRIASoft .(3)To maintain different information of Office and preparation of letter (4) Others -
(b) What are the difficulties in using computer (If happen)?
(21) Is there provision of internet in GP Office (Mark √)?- Yes No
Topic / Sub-Topic / Questionnaire / Indicator / Marks / Marking system*1.Panchayat functioning
Total Marks: 42 / a)Panchayat functioning.
Marks: 30 / i)How many meetings of the Panchayat were held in 12-13? / (i)Percentage of Panchayat meetings held against mandated number of meetings. / 3 / 100%:3
75-99%:2
50-74%:1
Less than 50%:0
ii)How many meetings of the Panchayat were held following requisite quorum in 12-13? / (ii) Percentage of Panchayat meeting held following requisite quorum. / 3 / 100%:3
75-99%:2
50-74%:1
Less than 50%:0
iii) Provide the following information about the last three meetings of the Panchayat Committee (Note: the State may also identify any other 3 meetings such as meetings in the month of April, October and December)
Meeting 1 (give date) April-2012
Total No. of members who attended.
No. of SC / ST members who attended:
No. of women who attended:
Meeting 2 (give date) October 2012
Total No. of members who attended.
No. of SC / ST members who attended.
No. of women who attended:
Meeting 3 (give date) December 2012
Total No. of members who attended:
No. of SC / ST members who attended.
No. of women who attended: / · Percentage of total attendance
· Percentage SC and ST member attendance.
· Percentage women member attendance.
· Percentage of total attendance
· Percentage SC and ST member attendance.
· Percentage women member attendance.
· Percentage of total attendance
· Percentage SC and ST member attendance.
· Percentage women member attendance. / 2
2
2
2
2
2
2
2
2 / 75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
75-100%:2
50% - 74%:1
Less than 50%:0
(iv) How decisions are taken by the Panchayat? (Please tick)
· By Pradhan/Chairperson
· By Panchayat Secretary/RPS/VS
· By vote
· By consensus
· Any other (please mention) / · Whether decisions are taken by vote.
· Whether decisions are taken by consensus.
· To be judged for record keeping.
· Interaction with GP members by 3rd Party. / 2 / By vote: 1
By consensus: 2
Others: 0
(v) In 12-13, for how many Panchayat meetings minutes were kept? / (v)Percentage meetings for which minutes are kept. / 2 / 75% or > meetings: 2
50-74% meetings: 1
< 50% meetings: 0
(vi) Name the six most important issues that were discussed in the Panchayat committee meetings in 12-13.
Ø Education.
Ø Health.
Ø Drinking Water &Sanitation.
Ø Nutrition.
Ø Women’s empowerment.
Ø Social Securities issues. / (vi) Whether issues are included in agenda for discussion in meeting:
· Whether problems of the respective areas are discussed?
· Whether Panchayat approved the plans, budget and review the schemes of the respective issues? / 2 / Both:2
One:1
None: 0
(b)Functioning of Gram Sabha/Village Sabha (for
GP/VC):
Total Marks: 12 / (i)How many meetings of the Gram Panchayat/Village Committee were held with requisite quorum in 2012-2013 and how many meetings of Panchayat /Village committee meeting were recorded in 12-13?
(ii)How many Village Sabha meeting were held in 12-13 in case of VC (under 6th Scheduled area)? (New Add) / (i)Percentage Gram Sabha/Village Sabha meetings held against meetings mandated. / 1 / 100%:1
Less than 60%:0
(iii) For any 2 Gram Sabha meetings give the following information:
Meeting 1 (give date) March 2012
Total No. of persons who attended:
No. of SCs who attended:
No. of STs who attended:
No. of women who attended:
Meeting 2 (give date) December 2012
Total No. of persons who attended:
No. of SCs who attended:
No. of STs who attended:
No. of women who attended:
Average participants of women.
Average participants of SC/ST. / (iii) Attendance
· Percentage people attending Gram Sabha.
· Percentage SC and ST attending out of total SC & ST electors.
· Percentage women attending out of total women electors. / 2
2
2 / 50% or more:2
25% to 49%:1
Less than 25%:0
50% or more:2
25% to 49%:1
Less than 25%:0
50% or more:2
25% to 49%:1
Less than 25%:0
iv) In which schemes were beneficiaries selected by Gram Sansad in 12-13?
a. IAY.
b. NOAP
c. WPS
d. DPS
e. NFBS
f. Annapurna Scheme. / (iv) No. of schemes in which Gram Sansad selected beneficiaries: / 2 / 5 and More:2
1 to 4:1
None:0
(v) How many proceedings of Gram Sabha/Village Sabha meeting were recorded or kept during the FY 2012-2013. / (v) Percentage of Gram Sabha/ Gram Sansad meetings for minutes were kept. / 1 / For 100% meetings : 1
For less then100 % meeting:0.
(vii) Has the Gram Sabha conducted Social Audit?
(a) For MGNREGA.
(b) Any other CSS & SSS (Pl. mentioned). / (vi) Whether Social Audit conducted or not? / 2 / If Yes in both : 2
If Yes in one : 1
If No in both: 0
2.Management of officials.
Total Marks : 3 / a)Training programmes organized
Mark : 2 / (i) Did the Panchayat organize any training programmes in 2012-2013?
(ii) if so how many?
(iii) Percentage of member trained. / (i) No. of training programmes organized / 2 / More than 2
Programmes:2
1-2 programmes:
No programme:0
b) Attendance of officials’ in Panchayat meeting
Mark : 1 / (ii) Do officials attend meetings of Gram Panchayat? / (ii) Attendance of officials’ in Panchayat meeting / 1 / 100%:1
Less than 100%=0
3.Planning and budget formulation
Total marks:
6 / a) Preparation of annual plan
Marks:2 / (i) Was the annual plan the prepared for 2012-2013 to review development of Panchayat? / (i) Whether annual plan prepared / 1 / Yes:1
No:0
(ii) Was the annual plan submitted to DPC?
(iii) The GP submitted its annual plan to PS.
(iv) The PS to ZP.
(v) The ZP (Chairman of DPC) submitted to State. / (ii) Whether annual plan submitted to DPC / 1 / Yes:1
No:0
b) Process of preparation of annual plan
Marks: 3 / (i) Was the annual plan discussed in Gram Sabha? / Discussions of annual plan in Gram Sabha / 1 / Yes:1
No:0
(ii) Were suggestions of the Gram Sabha incorporated? / Incorporation of Gram Sabha suggestions / 1 / Yes:1
No:0
(iii) Were experts involved in preparation of plan? / Involvement of experts in plan preparation / 1 / Yes:1
No:0
c) Budget
Marks:1 / c) Was a budget prepared? / c) Whether budget prepared / 1 / Yes:1
No:0
4.Income generation
Total
Marks:8 / a) Planning for own income:
Marks:3 / (i)Whether revenue generation for 2012-2013 was discussed and planned for in the Panchayat? / (i)Planning for revenue generation / 1 / Yes:1
No:0
(ii) Whether any news sources of income for 2012-2013 were identified? / (ii) identification of new sources of income / 1 / Yes:1
No:0
(iii) Whether income was generated from these sources? / (iii)Income generation the these sources / 1 / Yes:1
No:0
b) Collection of Non-Tax Revenues Marks:5 / (i) Please provide the following with respect to taxes that the Gram Panchayat is authorized to collect / (i) percentage of taxes collected against due during the year / 3 / Collection of taxes against total dues including arrears :
90% - 100% : 3
75% - 89% : 2
50% - 74% : 1
25 – 49% : 0
Name of tax / Arrears due as on 1.4.2012 / Amount due during 11-12 / Total due on 1.4.2012 / Amount collected in 12-13
(ii) Please provide information about collection of Non-Tax Revenue (Own Income) of Panchayat in 2011-2012 and 2012-2013 as follows: / (ii) Increase in Non-Tax Revenue (Own Income) since previous year / 2 / More than 25%
increase :2
0-24% increase :1
No increase :0
Source of income / Income in 11-12 / Income in 12-13
5. Performance total marks: 8 / a) Provide of job against each job card holder HH under MGNREGA. Marks: 3 / Total No. of HH issued Job Card / No. & % of HH awarded job up to 100 days in 11-12 / No. & % of HH awarded job below 100 days in 12-13 / b) Percentage of job awarding against job card holder HH. / 3 / Provide of 100 days work against HH:
90%-100%=3
75%-89%=2
50%-74%=1
25%-49%=0
b)Expenditure against budget in schemes
Marks:3 / (i) Please provide the expenditure against the budget available in each scheme of Panchayat as follows / Percentage expenditure against budget on Central and State Government schemes / 3 / Expenditure against budget:
90% - 100% - 3
75% - 89% - 2
50% - 74%:1
25% - 49%:0
Name of Scheme / CSS/SSS/other / Budget available Panchayat in 12-13 / Amount spent in 12-13
c)Untied funds placed by the State Govt. and expenditure
Marks:2 / (i)Please provide following information about untied funds in the Panchayats: / (i) Percentage of untied fund spent: / 1 / 75% or more untied funds spent -1
Less than – 75%:0
Source from which fund is available / Amount of fund available in12-13 / Amount spent in 12-13 / On what was this spent (please give amounts)
ii) whether spent to address needs of SCs / STs / Women / 1 / Yes:1
No:1
6.Accountability
Total
marks: 6 / a)Maintenance of accounts
Marks:3 / i)Are Panchayat accounts maintained in the format prescribed by the State Government? / i) whether accounts maintained in prescribed formats / 1 / Yes:1
No:0
ii) Are these upto date? / ii) whether accounts are upto date / 1 / Yes:1
No:0
iii) whether accounts of 2012-2013 were placed before Gram Sabha? (For Gram Panchayats only)/whether asset register properly maintained? / iii)whether accounts placed before Gram Sabha / 1 / Yes:1
No:0
c)Complaints / grievance
Marks:3 / i) How many complaints form citizens were received in 2012-2013?
ii) How many of these were addressed? / i) Percentage of complaints addressed / 2 / Complaints addressed:
75% or more:2
50% - 74% - 1
Less than 50% -0
iv) Has important information related to BPL list, pensioners, funds received and expenditure, list of officials to whom grievances are to be addressed etc. been displayed in the Panchayat office and public places? / Public display of key in format / 1 / Fully:1
Partially:0
No:0
SUPPLIMENT BY GOVERNMENT OF TRIPURA
7. Drinking Water Supply.
Total marks=8 / a) O & M of Water Supply Scheme Marks=5 / • Regular O & M.
· Collection of Users’ Charge.
· Provide drinking water facility in all AWC/Schools. / i) Is there regularity in O & M of DW Supply Scheme? / 1 / Yes=1
No=0
II) Percentage of collection of Users’ Charge. / 2 / 90%-100%=2
75%-89%=1
50%-74%=0
III)Percentage of coverage of drinking water facility in all AWC/Schools. / 2 / 90%-100%=2
75%-89%=1
50%-74%=0
b)Management of Drinking Water Supply Schemes Marks=3 / · Whether User’s Committee Constituted or not?
· Whether User’s Committee active and responsive to redress public grievances? / Whether User’s Committee Constituted ? / 1 / Yes=1
No=0
Percentage of redress of public grievances by User’s Committee / 2 / 90%-100%=2
75%-89%=1
50%-74%=0
8.TSC Marks=5 / Achievement in making GP/VC open defecation free Marks=5 / • GP/VC declared as “Nirmal Gram”
· Whether 100% IHHL done or not?
· Whether all AWC/Schools are provided cent percent sanitation facility coverage? / Whether declared as “Nirmal Gram” / 1 / Yes=1
No=0
Percentage of IHHL done. / 2 / 90%-100%=2
75%-89%=1
50%-74%=1
25%-49%=0
Percentage of coverage of AWC/Schools sanitation facility. / 2 / 90%-100%=3
75%-89%=2
50%-74%=0
9.Irrigation Schemes Marks=4 / O & M of Irrigation Schemes Marks=4 / • Regular O & M.
· Collection of Users’ Charge.
· ·Formation Irrigation Scheme Management Committee.·Activity of Irrigation scheme Management Committee.Actual coverage of Irrigation Scheme. / i) Whether assured Irrigation facility is available? / 1 / Yes=1
No=0
ii)Percentage of collection of Users’ Charge. / 2 / 90%-100%=2
75%-89%=1
50%-74%=0
iii)Whether Irrigation scheme Management Committee constituted / 1 / Yes=1
No=0
10.TLC
Total Mark : 2 / Achievement in making GP/VC illiterate free.
Mraks-2 / • Activities of TLC.
• Whether evaluation is being made in regular intervals? / I) Percentage of making illiterate free. / 2 / 90%-100%=2
75%-89%=1
50%-74%=0
11. ROR Service
Total Marks: 2 / Maintenance of ROR. Marks-2 / • Cent percent accuracy in maintenance of ROR. / i)Percentage of accuracy in maintenance of ROR. / 2 / 90%-100%=2
75%-89%=1
50%-74%=0
12.Mtc. Accounts in C&AG formats
Total
marks : 2 / Maintenance of Panchayats Accounts in C&AG prescribed formats including 8-database formats.
Mark-2 / • Whether Panchayats maintaining accounts as per C&AG prescribed formats.
· Whether 8-database formats of C&AG are maintained. / i) Whether Panchayat maintaining accounts in C&AG formats? / 1 / Yes=1
No=0
ii)Whether Panchayat is maintaining 8-database formats? / 1 / Yes=1
No=0
13.PRIASoft
Total
Marks : 4 / Maintenance of Panchayats Accounts in “PRIASoft”
Marks-4 / i)Whether the accounts of Panchayat is being in “PRIASoft”? / i) Whether “PRIASoft” is using for maintenance Accounts / 1 / Yes=1
No=0
ii)Is this being maintained accurately? / ii)Percentage of accuracy in maintenance of accounts in PRIASoft. / 3 / 90%-100%=3
75%-89%=2
50%-74%=1
Less than 50%=0
Total Marks / 100
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Annexure-II