Administrative Rules Letterhead



Author Visit

Final Report

(Due 30 Days after the Event)

Mail, email or fax report to:

Regina Anderson, Grants Officer

Author Visit Report

Missouri State Library

600 West Main, PO Box 387

Jefferson City, MO 65102-0387

Email: LSTA@sos.

Fax: (573) 751-3612

MISSOURI STATE LIBRARY – LIBRARY SERVICES AND TECHNOLOGY ACT

AUTHOR VISIT Grant

FINAL REPORT CHECKLIST

The final report must include all 5 (or, when applicable, 6) items listed below, or we cannot process your final payment:

__________ 1. Application for Payment: Included in the grant award packet.

__________ 2. Report Certification

__________ 3. Narrative Report

__________ 4. Financial Report

__________5. Payment Summary

__________ 6. Procurement Certification: Use this form if the author’s fee exceeds $3,000.

QUESTIONS ABOUT REPORT REQUIREMENTS?

Call Regina Anderson at (573) 526-6734 or Debbie Musselman at (573) 751-2679

or email LSTA@sos.

MISSOURI STATE LIBRARY – LIBRARY SERVICES AND TECHNOLOGY ACT

AUTHOR VISIT Grant

REPORT CERTIFICATION PAGE

Grant Project Number:

Grantee Name:

Project Director:

Name of person(s) making this report:

Phone number with area code:

E-mail address:

1. Target audience. Select all that apply.

| |All ages |

|Author Presentation Location | |

|Author Presentation Date | |

|Length of Presentation in Minutes | |

|Number of Presentations Held | |

|Total Attendance | |

|Brief Program Description | |

| | |

a. If applicable, record the number of items added to the collection as a part of the project and their circulation.

|Number of: |Total |

|Print materials added to the collection | |

|Times print materials circulated | |

|Audio/visual materials added to the collection | |

|Times audio/visual materials circulated | |

|Electronic materials added to the collection | |

|Times electronic materials circulated | |

b. Please share any additional statistics you collected.

1. SURVEY RESULTS: Please provide the aggregated survey responses.

How did attendees learn about the Author Visit?

_____ At school _____ At the library _____ Library’s website

_____ Flyer _____ Word of mouth _____ Library’s social media

Other source (please specify): ________________________________________________

What were the responses to the following prompts?

| |Strongly Disagree|Disagree |Neither Agree nor |Agree |Strongly Agree |

| | | |Disagree | | |

|Learned something new | | | | | |

|Feel more confident in what I just learned | | | | | |

|Intend to apply what I just learned. | | | | | |

|Am more aware of resources and services provided by| | | | | |

|the library | | | | | |

|Will attend more library programs | | | | | |

|Am more likely to use other library resources and | | | | | |

|services | | | | | |

|Will seek out books by this author | | | | | |

If you added questions, please aggregate the responses received using the above format.

Please summarize any comments or suggestions received.

2. IMPORTANCE OF FINDINGS: How will this author visit impact future program planning?

3. LESSONS LEARNED: Explain one or two of the most significant lessons learned for others wanting to hold an author visit.

4. OTHER: Please share other comments as appropriate.

MISSOURI STATE LIBRARY – LIBRARY SERVICES AND TECHNOLOGY ACT

AUTHOR VISIT grant

FINAL FINANCIAL REPORT

Include only LSTA funds in this chart. Please use exact figures. Do not round.

LSTA Amount Approved—This is the LSTA amount approved as listed in the budget memo in the grant award packet. Do not change any of these figures. Changes can only be made after an amendment has been fully executed.

LSTA Amount Spent —This is the total amount of LSTA funds spent on the project.

LSTA Unspent Balance—This is the LSTA Amount Approved minus LSTA Amount Spent.

|Budget Category |LSTA Amount Approved |LSTA Amount |LSTA Unspent Balance |

| | |Spent |(To be subtracted |

| | | |from final payment amount) |

|Library Materials | | | |

|-$500 maximum (may include shipping fees) | | | |

|Personnel, including salaries, wages, and | | | |

|benefits | | | |

|Services | | | |

|-Author fee, including travel | | | |

|Supplies | | | |

|Travel | | | |

|-Valid student transportation service | | | |

|Indirect Cost Rate | | | |

|TOTAL | | | |

Library Services and Technology Act Grant Program administered by the Missouri State Library,

a Division of the Office of the Secretary of State

author visit GRANT

Payment Summary – Final Report

Grant Project Number:

Grantee Name:

Please list the expenses during this portion of the grant period arranged by budget category. Include only approved items as listed in the project budget. Use exact costs. Do NOT round. Be specific as to the number of hours worked, number of miles traveled, books and DVDs purchased, etc. Items of a similar nature may be grouped together. Retain copies of all original invoices, receipts, and timesheets for the institution’s grant file. Please add rows as needed.

|Budget Category |Description of item or service|Quantity |Invoice Number |Invoice Date |Vendor | LSTA Funds | Local Funds | Total |

| | | | | | | | | |

| | | | | | | | | |

| | | | | | | | | |

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| | | | | | | | | |

| | | | | | | | | |

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| | | | | | | | | |

| | | | | |TOTAL | | | |

Missouri State Library LSTA Grants

Procurement Requirements

The attached Procurement Certification form is to be used to document bid processes of author fees over $3,000 for any library. However, if your library’s procurement policy has a bid threshold of $3,000 or less, you should also complete and submit this form to document your local bid process was followed.

Background: If the institution has policies established regarding bidding for purchases, follow those policies in administering the grant funds. “Grantees and subgrantees will use their own procurement procedures which reflect applicable State and local laws and regulations, provided that the procurements conform to applicable federal law and the standards identified in [section 1183.36].”

The Library Services and Technology Act (LSTA) is governed by the federal regulations in 45 CFR Ch. XI, Part 1183. Check the section on Procurement Requirements, found at Part 1183.36. All federal grants are required to be in compliance to Office of Management and Budget (OMB) cost principles listed in the appropriate Code of Federal Regulations: 2 CFR Part 220, 2 CFR Part 225, and 2 CFR Part 230. “If small purchase procedures are used, price or rate quotations shall be obtained from an adequate number of qualified sources.” (45 CFR Ch. XI, 1183.36.4.d)

Publicly listed price quotations may be gathered from such sources as Internet web pages or catalog advertisements; these may be counted as price & rate quotations. Keep all printouts and/or photocopies of quotations on file at the library; send us only the Procurement Certification form.

Library Services and Technology Act Grant Program, administered by the

Missouri State Library, a Division of the Office of the Secretary of State

PROCUREMENT CERTIFICATION

Library:

(Type or Print Library Name)

Grant Number:

(Type or Print Grant Number from Agreement)

Project Title:

(Type or Print Project Title)

1. Sealed Bids were received: _______yes ________no

If yes, these are the results:

a. Author’s name: ____________________________ Amount:

b. Author’s name: ____________________________ Amount:

c. Author’s name: ____________________________ Amount:

d. Author’s name: ____________________________ Amount:

e. Author’s name: ____________________________ Amount:

The Contract was awarded to:

on the basis of: ____ low bid, or

(state reasons)

2. By direct queries via telephone, email, letter, or fax: _______yes ________no

If yes, these are the results:

a. Author’s name: ______________________________ Amount:

b. Author’s name: ______________________________ Amount:

c. Author’s name: ______________________________ Amount:

d. Author’s name: ______________________________ Amount:

e. Author’s name: ______________________________ Amount:

The Contract was awarded to:

on the basis of: ____ low bid, or

(state reasons)

I hereby certify by my signature that the above statements are true and factual to the best of my knowledge:

Library Director’s Signature Date

-----------------------

Library Development

(573) 751-3615

James C. Kirkpatrick

State Information Center

(573) 751-4936

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