Guidance to Tribes for Completing Supplemental Request for Information
Summary
Guidance to Tribes for Completing Supplemental Request for Information. It states that the information will be used to determine the second distribution of the Coronavirus Relief Fund to Tribal governments using the Coronavirus Relief Fund Tribal Allocation Methodology posted on Treasury's website on May 5, 2020. It states that tribal governments will submit the information through an electronic form made available on Treasury's website early in the week of May 17. It states that Treasury expects to require the data by 11:59 pm Alaska Daylight Time on May 26, 2020, and asks for the number of employees shown on line 1 of IRS Form 941.
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- Department Of The Treasury Tribal Employment And Expenditure Submission Instructions Home
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- Department Of The Treasury Tribal Employment And Expenditure Submission Instructions Home Treasury G 4C59153550
Cite this document
“Guidance to Tribes for Completing Supplemental Request for Information.”
Original at home.treasury.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/department-of-the-treasury-tribal-employment-and-expenditure-submission-instructions-home-treasury-g-4c59153550/
, SHA-256 8a00da505602870ed0ac7dd926f37fd50c2f713f3acda3fefd507aad7ee30533.Full text
Guidance to Tribes for Completing Supplemental Request for Information
The information submitted on this form will be used to determine the second distribution of the
Coronavirus Relief Fund to Tribal governments using the Coronavirus Relief Fund Tribal
Allocation Methodology posted on Treasury’s website on May 5, 2020.
This information will be required to be submitted by tribal governments through an electronic
form that will be made available on Treasury’s website early in the week of May 17. The
required information should not be submitted to Treasury other than through the electronic form.
Treasury expects to require the requested data to be submitted by 11:59 pm Alaska Daylight
Time on May 26, 2020. The submission deadline will be confirmed when the online portal is
opened next week.
Employment Information
Enter the number of employees shown on line 1 of IRS Form 941 for each quarter of calendar
year 2019. Include information separately for employees that are employed by the Tribal
government directly and employees that are employed by any entity of which the Tribal
government owns at least 51% of the ownership interests. Do not include any independent
contractors or employees of independent contractors. If an entity was not in existence or
otherwise had no employees for any calendar quarter in 2019, enter N/A for that quarter for the
number of employees.
If there is more than one employing entity or more than one Employer Identification Number
(EIN) for either line in the form, provide a separate schedule with details for each employing
entity.
For each employer, submit a pdf file or other electronic copy of the supporting Form(s) 941 or
equivalent third-party payroll service provider report(s) in electronic form. Employer
identification information (name and EIN) and the information on line 1 of Form 941 is required;
other information may be redacted.
If an employer files IRS Form 944 rather than Form 941, check the box indicating that the
employer does not file IRS Form 941. Employers who file Form 944 are exempt from reporting
the quarterly number of employees on this form.
Expenditure Information
Enter total governmental expenditures for the 12 months of the 2019 fiscal year in the line
labeled “Total governmental expenditures”. Governmental expenditures include, but are not
exclusive of, general government, public safety, health services, wellness services, substance
abuse, general welfare and assistance, community services, cultural programs, education,
recreation, housing, economic development, planning and development, sanitation, judicial, and
similar activities, provided that capital outlays and debt service costs shall not be included within
governmental expenditures.
In the line labeled “Total amount of federal financial assistance,” include amounts representing
federal financial assistance included in the “Total governmental expenditures” line.
pg. 1
Submit a worksheet that shows how the dollar amounts are derived. Include links or relevant
pages from financial documents to support the figures. Information provided on this form should
be consistent with information presented by the relevant entity in any financial statement filed
pursuant to the Single Audit Act or program-specific audit, as applicable.
pg. 2
SUPPLEMENTAL REQUEST FOR TRIBAL INFORMATION
Name of Tribe:
Calendar Year 2019
NUMBER OF EMPLOYEES Q1 Q2 Q3 Q4
Employed by Tribe
Employed by Tribal entities
If the Tribe does not file IRS Form 941, check here:
SUPPLEMENTAL REQUEST FOR TRIBAL INFORMATION
Name of Tribe:
EXPENDITURES Fiscal Year 2019
Total governmental expenditures
Total amount of federal financial assistance
File and source
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- 484,714 bytes
- SHA-256
- 8a00da505602870ed0ac7dd926f37fd50c2f713f3acda3fefd507aad7ee30533
- Original
- home.treasury.gov