FY15 DSS FED FUNDING ACCT AND TRANS REPORT2015 Information Required:
• County Name
• County DUNS Number
° County Principal Place of Performance (including city and congressional district),
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Names and total compensation for each of your five most highly compensated executives for the preceding
completed fiscal year, if in the preceding fiscal year, you received-
8O percent mmore of your annual gross revenues from Federal procurement contracts (and
subcontracts) and Federal financial assistance subject La the Transparency Ao.aodwfnmdsg2
CFR170.32O (and aubuwondo)�and
- $29'D0O,0UOor more in annual gross revenues from Federal proouremerkoontracts(mnd
subcontracts) and Federal financial assistance subject to the Transparency Act, as defined at 2
CFR17D.32O (and mubmwerde); and
- The public does not have access Vo information about the compensation of the executives
through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934
(15 U.S.C. 78m(o). 78n(d))or section 8104ofthe Internal Revenue Code of 1986. (To determine
if the public has access |othe compensation information, see the U.S, Security and Exchange
Commission total compensation filings at the Executive Compensation page of the SEC website,)
m
If you are not required to complete this section please provide certification below!
| certify that our county is not required to list the highly compensated individuals
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0 If you are required to complete this information please provide information beiow:
Name Compensation Amount
See: http://www.hrsa.gov/grants/ffata.html for more information concerning the compensation requirement
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North Carolina Department of Health and Human Services
Division of Social Services
Pat McCrory Aldona Z. Wos, M.D.
Governor Ambassador (Ret.)
Secretary DHHS
Wayne E. Black
Division Director
April 14, 2015
Dear County Finance Officer:
Re: Federal Funding Accountability and Transparency Act of 2006
The NC Division of Social Services (NC DSS) is requesting that each county provide information so that NC DSS
complies with the Federal Funding Accountability and Transparency Act.
The Federal Funding Accountability and Transparency Act of 2006 (FFATA), and amended in 2008 in Public Law
110 -252, was created to ensure that the public can access information on all entities and organizations receiving
Federal funds. Central to the law was the development of www.USASpending.gov, a publically available website
with searchable information on each Federal grant and contract over $25,000. As of October 1, 2010 reporting on
executive compensation and first -tier subawards was implemented with the development of the Federal
Subaward Reporting System (FSRS).
Since counties are the subawardees of grants, they are required to provide the prime (NC DHHS /DSS) awardee
information so that we (NC DHHS /DSS) can input into FSRS information as required by the Act. Please complete
the form on the next page of this letter with information that is needed to be received and certified by your
County's Finance Officer for this input. We ask that you fax or email this information with the signature of the
County Finance Officer to the Division of Social Services Budget Office at either FAX (919) 334 -1031 or email to
Sandra Weathers at Sandra.Weathers(a- )dhhs.nc.gov by May 15, 2015.
Sincerely,
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Budget Office
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www.ncdhhs.gov www.ncdhhs.gov /dss
Tel 919 -527 -6411 • Fax 919- 334 -1031
Location: McBryde Building • 820 S. Boylan • Raleigh, NC 27603
Mailing Address: 2417 Mail Service Center • Raleigh, NC 27699 -2417
An Equal Opportunity / Affirmative Action Employer
Kathy Sommese
Chief, DSS Budget Office
Cc: County Directors of Social Services
DSS Local Business Liaisons
Jack Rogers
BG 05 -2015