Draft

CAMBODIAN REHABILITATION AND DEVELOPMENT BOARD
COUNCIL FOR THE DEVELOPMENT OF CAMBODIA

QUESTIONNAIRE ON EXTERNAL ASSISTANCE TO CAMBODIA

Reporting Year:  2006

Donor___________________________________              Date questionnaire completed:______________
Currency used throughout questionnaire:  _______________

I.  Program/Project Information
1.   Donor Program/Project Number:_________________                     PIP No: ____________________
2.   Official Title:________________________________________________________________________
3.   Program/Project Objectives: ___________________________________________________________
      ___________________________________________________________________________________
      ___________________________________________________________________________________
      ___________________________________________________________________________________
      ___________________________________________________________________________________
4.   Was a Program/Project Document or an equivalent document signed with Government ministry(ies) and/or
      agency(ies):
                                £ YES                               £ NO go to Q8
5.   Is the implementing agency for the Program/Project a government institution?
                                £ YES                               £ NO go to Q8
6.   If yes, then please specify the name of the Government institution(s) with whom the agreement was signed:....
      …………………………………………………………………………………………………………………………………………………………
7.    Please specify the name of the Government institution(s) responsible for implementing the Program/project:....
      ………………………………………………………………………………………………………………………………………….….. ........
8.    If the answer to Q4 and/or Q5 is NO, then please specify the name(s) of the non-government or
       international development cooperation agency that is the implementing institution(s): .................................
9.    Is this Program/Project part of a broad Sector/Thematic Program?
                                £ YES                               £ NO go to Q11
10.  If yes, please specify the Sector/Thematic Program:  .....………………………………………………………………….…
11.   Program/Project Approval Date                                 Start Date                           Completion Date
              _________________                                   ________________                  ________________ 
                     (dd/mm/yy)                                              (dd/mm/yy)                              (dd/mm/yy)
 

II.  Program/Project Budget
12.  Total Program/Project Budget:          _______________ 

  • RGC Contribution ________________________

  • External Assistance ______________________

13.  Terms of Assistance
          £ Grant                                Amount:  ____________
          £ Concessional Loan:            Amount:  ____________   Interest Rate:_______  £ Fixed   £ Variable
                                                     Grace Period:_________________     Amortization Period:____________
          £ Non-concessional Loan:      Amount:  ____________

14.  Planned budget allocation/expenditure for each year of the Program/Project duration.

 

Year 1

Year 2

Year 3

Year 4

Year 5

RGC Contribution

 

 

 

 

 

External Assistance

 

 

 

 

 

III.  Source of Funds

  1. Is this Program/Project funded by more than one development partner:

                                £ YES                               £ NO go to Q #18

  1. If answer to Q #15 is YES: Was this Program/Project is delivered through a multilateral institution:

                                £ YES                               £ NO go to Q #17

 

To minimize double counting errors -- that can arise if both the reporting multi-lateral institution and the contributing bilateral or multilateral institution(s) also include these funds in their reported disbursements -- the reporting multi-lateral institution for this Program/Project is requested to report disbursements from their "own resources" and "resources mobilized from in-country bilateral or other multilateral sources". The reporting multilateral institution's "own resources" include: (i) institution's core resources; and (ii) any donor funds received by reporting multilateral institution's headquarters' that are provided to Cambodia but would not be reported by the contributing donor's country office in Cambodia. The "resources mobilized from in-country bilateral or multilateral sources" include any funds provided by the country office(s) of bilateral donor(s) or another multilateral institution(s) to the reporting multilateral institution's program or project that would also be reported by the contributing bilateral or multilateral donor(s) in their responses to this survey.

 

To be completed by multilateral institution delivering the Program/Project

 

Source of Funds

Amount

Currency


1.   Own Resources

2.   Resources mobilized from in-country bilateral or other
      multilateral sources, please list:
     i.
     ii.
     iii.
     iv.

 

 

To be completed by development partner who has contributed to a Program/Project that is delivered through a multilateral institution:

-     Multilateral Institution delivering the Program/Project: ____________________________
-     What is your contribution :                                        ____________________________

  1. If answer to Q #16 is NO: Was this Program/Project is delivered through a delegated cooperation arrangement:   

                                £ YES                               £ NO go to Q #18

-     Multilateral Institution delivering the Program/Project: ____________________________
-     What is your contribution :                                        ____________________________

IV.  Disbursements

  1. Please report the following data in the currency listed on Page 1. In the case of project/program funded by more than one development partner, the agency who manages the fund should also complete the column "other resources" on behalf of other development partners.

Type of Assistance

2005 Actual
Disbursements

2006 Disbursements

2007 Planned

Own Resources

Other
Sources

Total

Own Resources

Other Sources

Total

Free-Standing Technical Cooperation  

  • Total Free-Standing TC

       -International Experts
       -Operational
         support & Equipment
      -Other

 

 

 

 

 

 

 

Pre-Investment-Related Technical Cooperation

 

 

 

 

 

 

 

Investment Project: Total

  • Technical Cooperation Component

 

 

 

 

 

 

 

Budgetary Aid or Balance of Payment Support (in cash)

 

 

 

 

 

 

 

Commodity Aid for Budgetary Support (in kind)

 

 

 

 

 

 

 

Food Aid

 

 

 

 

 

 

 

Emergency and Relief Assistance

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

V.  Sector(s) of Program/Project Activities

  1. Please identify the sector of the Program/Project Activities by putting an “x” in the appropriate box. In the case of multi-sector Program/Project, please identify the sectors by putting an “x” in the appropriate boxes and entering the amount disbursed and the percent of total expenditure in 2005 & 2006 by each sector.

SECTOR

Disbursements in 2005

Disbursements in 2006

Amount

%

Amount

%

Social Sectors

 

 

 

 

£    Health

 

 

 

 

£    Education

 

 

 

 

Economic Sectors

 

 

 

 

£    Agriculture & Land Mgmt: other than
  crops

 

 

 

 

o   Seasonal Crops: Rice & others

 

 

 

 

£    Manufacturing, Mining & Trade

 

 

 

 

£    Rural Development

 

 

 

 

Infrastructure

 

 

 

 

£    Post & Telecommunications

 

 

 

 

£    Power & Electricity

 

 

 

 

£    Transportation (Roads, Ports, Rlys., Civil Aviation)

 

 

 

 

£    Water and Sanitation (excluding rural)

 

 

 

 

Services & Cross Sectoral Programmes

 

 

 

 

£    Community and Social Services

 

 

 

 

£    Culture & Arts

 

 

 

 

£    Environment and Conservation

 

 

 

 

£    Gender Mainstreaming

 

 

 

 

£    Governance & Administration

 

 

 

 

£    Tourism

 

 

 

 

TOTAL DISBURSEMENTS

 

100.0%

 

100.0%

VI.  Target Geographic Location (s) of Program/Project Activities

  1. Please check each province or municipality where Program/Project activities are being delivered. If the Program/Project is being delivered in more than one area, please indicate the percentage of resource disbursed in 2006 to each region in the space provided. If the activities of a Program/Project are or were delivered in only one province or municipality then the percentage would be 100 %.

£ 1. Banteay Meanchey ____________________%
£ 2. Battambang ____________________%
£ 3. Kampong Cham ____________________%
£ 4. Kampong Chhnang ____________________%
£ 5. Kampong Speu ____________________%
£ 6. Kampong Thom ____________________%
£ 7. Kampot  ____________________%
£ 8. Kandal ____________________%
£ 9. Kep ____________________%
£ 10. Koh Kong ____________________%
£ 11. Kratie ____________________%
£ 12. Mondul Kiri ____________________%
£ 13. Otdar Meanchey ____________________%
£ 14. Pailin ____________________%
£ 15. Phnom Penh ____________________%
£ 16. Preah Vihear ____________________%
£ 17. Prey Veng ____________________%
£ 18. Pursat ____________________%
£ 19. Ratanak Kiri ____________________%
£ 20. Siem Reap ____________________%
£ 21. Sihanoukville ____________________%
£ 22. Stung Treng ____________________%
£ 23. Svay Rieng ____________________%
£ 24. Takeo ____________________%
£ 25. Nation-wide ____________________%

VII.  Program/Project Personnel

  1. Please provide information on the total number of international and national experts/consultants and support personnel (excluding permanent staff of the implementing RGC institution) that were engaged in delivering the Program/Project activities in 2006.

A.  International Experts/Consultants Employed in 2006
Both short-term (ST – assignment of one year or less) and long-term (LT – more than one year assignment)

Number of Experts/Consultants

Job Title

Specific Area of Expertise (e.g. Financial Management, Law, Engineering)

ST

LT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B.  National Experts/Consultants Employed in 2006
Both short-term (ST – assignment of one year or less) and long-term (LT – more than one year assignment)

Number of Experts/Consultants

Job Title

Specific Area of Expertise (e.g. Financial Management, Law, Engineering)

ST

LT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C.  Other National Personnel Employed in 2006
(excluding permanent staff of the implementing RGC institution)

Job Title

Number Employed

Duration Of Employment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

VIII. Paris Declaration Indicators

  1. The following information on ODA supported Programs and Projects that are being delivered will be used as an important input in preparing reports on progress towards the targets of the Paris Declaration Indicators for the year 2010. This information would minimize the need for ad hoc surveys to monitor progress and lessen the burden on both RGC and the development partners.

Indicator 4:





Indicator 5a:


Indicator 5b:

Indicator 6:



Indicator 9:

Indicator 10a:









Indicator 10b:

What was the total expenditure in 2006 to support the strengthening of the institutional capacity of the implementing institution of this Program/Project?

How much of this was delivered through a coordinated capacity development effort?

Is this project managed using the Government financial management system?

Does this project use the Government's procurement system?

Does this project use a Parallel Project Implementation Unit?
Does this project use a Partially Integrated Project Implementation Unit?
Does this project use a fully integrated Project Implementation Unit?

Is this project part of a programme-based approach?

Please list the missions that were funded by the program/project in 2006.
Mission 1:  start date of mission ____________ end date ___________
Was the mission conducted jointly with one or more other donors?

Mission 2:  start date of mission ____________ end date ___________
Was the mission conducted jointly with one or more other donors?

Mission 3:  start date of mission ____________ end date ___________
Was the mission conducted jointly with one or more other donors?

Was any study/analytic work carried out by the program/project in 2006?
If yes, how many separate studies/analytic work were carried out?
How many of these were conducted jointly with one or more other donors?


________


 ________


 £ YES   £ NO

 £ YES   £ NO

 £ YES   £ NO
 £ YES   £ NO
 £ YES   £ NO

 £ YES   £ NO



 £ YES   £ NO


 £ YES   £ NO


 £ YES   £ NO

 £ YES   £ NO
 _______
_______

                   

Updated 22 June 2006

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