TEMPLATE For furnishing ANNUAL IMPLEMENTATION PLAN (AIP) FOR

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P a g e 1 TEMPLATE For furnishing ANNUAL IMPLEMENTATION PLAN (AIP) FOR 2016-17 Swachh Bharat Mission (Gramin) Ministry of Drinking Water and Sanitation Government of India 2016-17

P a g e 2 BASIC INFORMATION 1) State 2) Implementing Agency: STATE /DISTRICT LEVEL:(SWSM)/SRDA/Sanitation Mission/Other State Govt. agency Chairman of Executive Committee of the State Committee/Agency (by Designation) 3) Address communication------------------------------------------------------------------------ --------------------------------------------------------------------------- --------------------------------------------------------------------------- ---------------------------------------------------------------------------- Phone: (O) (R) (M) Email: 4) Account details of SWSM/SRDA/CCDU/District Level other agency of State Government Account No:-------------------------------------------------------------------------------- Name of Bank :---------------------------------------------------------------------------- Branch : ------------------------------------------------------------------------------------- IFSC Code :--------------------------------------------------------------------------------- 5) project profile number of Rural Districts in the State: District Project Sanctioned: Cost of the project Sanctioned: expenditure till date (of state including all Districts) : Balance fund available (of state including all Districts) : Percentage of Rural Households covered with toilets in the State/Districts :

P a g e 3 (a) Sanitation Coverage(State/District) Sanitation Coverage as on 01.04.2015 Sanitation Coverage as on 28.02.2016 Sanitation Coverage as on Rural Sanitation Coverage (b) Open Defecation Free Status(State/District) Target as on 28.02.2016 as on Gram Panchayats Identified ODF Village Identified ODF (c) Please provide a Note on the ODF verification Process adopted in your State (along with copy of State circulars) (d) Physical Progress (The distinct- wise status to be enclosed) TABLE 1 Components IHHL - APLs Annual year the year (Upto Feb, 2016) % Against s as on IHHL-BPLs IHHL- Community Sanitary Complex

P a g e 4 Solid and Liquid Waste Management Solid Liquid Waste Management Project/Activities has been initiated (Nos. of GPs) Annual year the year (Upto Feb, 2016) % Against s as on Expenditure expected expenditure in (e) Financial release and expenditure (The district-wise status to be enclosed ) TABLE 2 (Rs. in lakh) Share O. B. as on 1.04.2015 Funds released during the year 2015-16 (Upto ) Interest Earned during the Year (if any) Available Funds during the Year Expenditu re during the year (Upto ) Unspent Balance as on 25.2.2016 Anticipat ed annual expenditu re 31/3/2016 GOI share State Share Beneficiaries Share (f) IEC /IPC activities done in No. of GPs No. of GPs in which awareness activities targeted in No. of GPs in which awareness activities carried in No. of GPs in which triggering exercise carried No. of GPs in which awareness activates 31.03.2016 () No. of GPs in which triggering exercise 31.03.2016 () Expenditur e incurred expected expenditur e

P a g e 5 (g) Please provide a one page note on the key IEC/IPC activities undertaken in the State (h) Institutional Structure Please provide a 1-2 page Note on the institutional structure implementation of in your State under the following headings (i) (ii) (iii) (iv) (v) (vi) (vii) (i) Nodal Department. Mission Director/State Coordinator with rank. Institutional structure at the district level; Involvement of Collector; Involvement of CEO/CDO, Zilla Panchayat. Institutional structure at the block level; Involvement of BDOs. Institutional structure at the village level. payment/honorarium structure at District block and village levels. Whether there is any incentive structure linking work to achievement of outcomes. Format providing inmation on Manpower Structure HRD Structure the Implementation of SBM-G Incentive Structure their functioning Suggested Administrative Structure as per SBM-G HRD Structure Available in the State State Level District Level Block Level GP Level Director -1 State Coordinator -1 Consultants- HRD/IEC/M&E/SLWM/MIS/Accountant/ Data Entry Opertor- Each one District Coordinator i/c of SMB(G)-1, Assistant Coordinator (tech)-1, Consultant- IEC/HRD/M&E cum MIS/Sanitation & Hygiene/SLWM/Accountant/ Data Entry Operator Full time Block Sanitation Officer (BSO)-1, Block Coordinator /Data Entry Operator -Each One, A team of Social Mobiliser and Technical Supervisor 20-30 GPs VWSC as a Sub Committee of Gramm Panchayat with 50% women members and representative of SC/ST and poorer section, Swachhta

P a g e 6 (J) Training and Capacity building No. of GPs No. of motivators planned to be trained in 2015-16 No. of motivators trained No. of motivators trained in community process & triggering Actual expenditure (k) Please provide a Note on the fund flow mechanism village level. Is there electronic transfer of funds/dbt? What is the usual time taken to reach funds village level after requirement? How is the issue of parked funds addressed? (l) Please provide a note on the technologies adopted difficult areas? How are local innovations encouraged? (m) Please provide Note on the process of evaluations/ralu/documentation of success stories

P a g e 7 2016-17 (a) Please provide an overall Note (Not more than 3 pages) on the Strategy(vision) the State to achieve goal of ODF State on/bee 2019 with focus on plan 2016-17 (b) Sanitation Coverage(State/Districts) Sanitation Coverage as on Sanitation Coverage as on Sanitation Coverage as on 31.3.2017 Rural Sanitation Coverage (c) Open Defecation Free Status(State/Districts) Achiev ement as on 28.2.20 16 Achievem ent as on as on 31.3.2017 (cumulative) Quarter- I (Apr- Jun 2016 Quarter- II (Jul- Sep 2016 Quarter- III (Oct- Dec 2016 Quarter- IV (Jan- Mar 2017 Gram Panchayats Identified ODF Villages Identified ODF (d) Summary of Physical s the year 2016-17. The district -wise status to be enclosed

P a g e 8 TABLE 3 Compon ents Househol ds without toilets as per Baseline Survey 2012-13 Toilet constructed from date of Base line Survey to Anticipated Toilet constructed from date of Base line Survey to 31/3/2016 Households without toilets as on 1.4.2016 Objecti ve the Year 2016-17 the Year 2016-17 Quarter-I (Apr-Jun 2016) Objectiv e Quarter -III (Jul- Sep 2016) Objectiv e Quarter- IV (Jan- Mar 2017) IHHL (BPLs) IHHL (APLs) (e) Community Sanitary Complexes Community Sanitary Complex (Actual requirement) No. of GPs No. of CSCs expected to be undertak en Quarter -I (Apr-Jan 2016) Quarter - II (Jul- Sep2016) Quarter - III (Oct- Dec2016) Quarter -IV(Jan- Mar2017) (f) Solid and Liquid Waste Management (SLWM) Projects in and 2016-17 District -wise position to be enclosed TABLE 5 (Rs. in Lakhs) Components no. of GPs No. of GPs in which SLWM already undertaken up to March 2016 s the Year 2016-17 Number Amount No. of projects on Solid Liquid Waste management (g) expenditure on SC/ST the year 2016-17

P a g e 9 TABLE 7 Components Expenditure during ( ) Anticipated Expenditure during ( 31.3.16) expenditure the year 2016-17 Amount(in Rs. lakh) % Amount (in Rs. Lakh) % Amount (in lakh) % SC Sub Plan Exp. ST Sub Plan Exp. (h) IEC/IPC activities proposed No. of GPs No. of GPs in which awareness activities proposed in 2016-17 No. of GPs in which triggering exercise proposed in 2016-17 expected expenditure

P a g e 10 (i) Proposed institutional structure Is there any change /enhancement/strengthening proposed in the institutional structure. If yes,, please provide details. It is proposed to link work to achievement of Outcomes? (j) What improvements are planned stream lining fund flow mechanism? Is electronic transfer being effected? (k) What improvements are planned providing innovative technologies/addressing being difficult areas? (l) What is the plan monitoring and evaluation/ralu work/documentation?

P a g e 11 (m) Synopsis of Physical and Financial proposal the year (Amount in Rs. in lakh) -Component 2016-17 Unit Amount (Rs. in lakh) IEC including Capacity building and start-up activities (5%) IHHL-BPLs IHHL-APLs-SC Centre share State share Beneficiary share IHHL-APLs-ST IHHL-APLs-Small and marginal farmers IHHL-APLs-Landless labourers with homestead IHHL-APLs-Physically handicapped IHHL-APLs-Women headed households IHHL-APLs-Others Sanitary Complexes Revolving Fund 5% Solid and Liquid Waste Management Administrative Charges(2%) Note : CS-Central Share, SS-State Share, BS-Beneficiary Share (The district-wise status to be enclosed ) Signature ---------- Sign------------- Sign------ District Panchayat Raj Officer Chief Development Officer District Magistrate (NOTE- Signature of Competent Authority with Stamp)