SGLGB Editable DCF
SGLGB Editable DCF
SGLGB Editable DCF
1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Identifying Information
Region : _______________________________
Barangay : _______________________________
City/Municipality : _______________________________
Province : _______________________________
Page 1 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Page 2 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Certification from
the Punong
Barangay
Page 3 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
o 7 financial
documents
posted = 7
o 5-6 financial
documents
posted = 6
o 3-4 financial
documents
posted = 4
o 1-2 financial
documents
posted = 2
● Non-
compliance =
0
● No data = 0
2. Percentage Barangay Budget Barangay With increase? 3 3
Increase in Preparation Form No. 2: Treasurer
● Yes = 3
local Actual Income and
resources Expenditure ● No = 0
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Accountant
CY 2018 PhP ________
CY 2019 PhP ________
Difference : PhP
_________
Percentage increase:
_____
3. Conduct of Monitor report on the Barangay Conducted 4 4
Barangay compliance of the Secretary Barangay
Assembly for barangays to conduct Assembly:
the first and barangay assembly to be
1st Semester = 2
second submitted thru shared
semester of google drive 2nd Semester = 2
CY 2019
No data = 0
TOTAL 20 18
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
100
Page 9 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
● 1 out of 4 = 0
● No = 0
● No data = 0
Utilization Rate of Utilization of the 1
the 70% component 70% BDRRM Fund
of the BDRRM Fund
● 50% and above
=1
To compute for % ● Less than 50% =
utilization: 0.5
% utilization of the ● No = 0 1
70% BDRRMF = ● No data = 0
(Total Amount
Utilized / Total
Amount Allocated) x
100
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Plan
2. Extent of risk Date of drill/s Barangay With Post-Activity 1 1
assessment and conducted: Secretary Report:
Early Warning
________________ ● Yes = 1
System (EWS)
Local Disaster ● No = 0
Risk Reduction
Drills conducted Conducted drills 1 1
and
(Earthquake, fire,
Management ● Earthquake/Fire/
etc.)
Officer Others = 1
(LDRRMO)
● No = 0
Local risk map Presence of Local 1 1
risk map
● Yes = 1
● No = 0
Early Warning Presence of Early 1 1
System (EWS) Warning System
location:
● Yes = 1
________________
● No = 0
and recovery and Rescue Team/s Local Disaster and Rescue Team/s
Risk Reduction
● Yes = 1
and
Total number of Management ● No = 0
Emergency Search Officer
and Rescue (LDRRMO)
Team/s: _________ Provision of training 1 1
to the Emergency
Search and Rescue
Team/s:
● Trained in the
past 12 months
(CY 2019) = 1
No training in the
past 12 months (CY
2019) = 0
Designated/ Presence of 1 1
Evacuation Center Evacuation
location : Center/Designated
________________ Evacuation Center
____________
● Yes = 1
● No = 0
Disaster equipment: Disaster equipment 2 1
● 2-way radio / ● 2-way radio /
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
TOTAL 20 17
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
BARANGAY
1. Functionality of Functionality of the Barangay If the result is: 1 1
the Violence Violence Against Secretary
● Ideal = 1
Against Women Women (VAW) Desk
(VAW) Desk based on VAW Desk ● Mature = 0.5
Form 2 of MC No. 2017- Local Social
114 dated 30 August ● Basic -
Welfare and
2017 Progressive =
Development
0.25
Officer
● No
Functionality
=0
VAWC Cases Quarterly Submission of 2 1
Reports Quarterly
Reports on
● 1st Qtr submitted:
VAWC Cases
__________
● 1st Qtr report
● 2nd Qtr submitted:
submission =
_________
0.5
● 3rd Qtr submitted:
● 2nd Qtr report
__________
submission =
● 4th Qtr submitted: 0.5
__________
● 3rd Qtr report
submission =
0.5
Page 15 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Page 16 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Page 17 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
in KR Form 5. masterlist KR
Form 5:
Yes = 1
No kasambahay
registered = 1
No = 0
7. Functionality of DILG MC No. 2008-126 Barangay If the result is: 1 1
the Barangay Secretary
● LCPC Form 1-A ● Ideal = 1
Council for the
Protection of ● Mature = 0.5
Children
(BCPC) ● Basic -
Progressive =
0.25
● No
Functionality
=0
8. Allocation for PCW, DILG, DBM and Barangay With approved 1 1
the Annual NEDA JMC No. 2016-01 Secretary Barangay Annual
Gender and Plan and Budget:
● Annex D-1
Development
Yes = 1
(GAD) Plan and
Budget No = 0
TOTAL 15 13
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
purposes
4. Issuance of Logbook/record Barangay Timeliness of 7 5
Barangay book Treasurer issuance of
1
Clearance within barangay
seven (7) working clearance
days (for
● 90%-100% of
businesses
applications
which do not
met = 7
require
occupancy ● 80%-89% of
permits). For applications
locational met = 5
clearance,
issuance of ● 70%-79% of
Barangay applications
Clearance in not met = 3
more than three ● 60%-69% of
(3) working days applications
from application met = 2
at the
city/municipality ● 50%-59% of
applications
met = 1
● 49% and below
of applications
1
Item 5.1 of DILG MC No. 2019-177 dated October 17, 2019 – Barangay Clearance refers to any and all documents issued by the barangays with or without
corresponding fees as defined in their ordinances relative to or in relation to the issuance of business permit and locational clearance by the city/municipality
or any other permit as may be required.
Page 23 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
met = 0
TOTAL 15 13
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
Y
1. Presence of a ● MRF (check the Onsite Presence of MRF: 2 1
Materials corresponding inspection
● Yes = 2
Recovery answer)
Facility (MRF) ● None but with
____ Barangay
pursuant to other materials
owned
R.A. 9003 recovery
____ Clustered scheme = 1
Brgys
● None = 0
● Location of MRF
● MOA
● Certification from
the
City/Municipal
Environment and
Natural
Resources Office
(C/MENRO) on
the existence of
the MRF
2. Presence of a Ordinance or Barangay Presence of 2 2
Collection similar issuance Secretary Ordinance on
System to on segregation of segregation of
Ensure
Page 25 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
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2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
____________________________________
Chairperson
____________________________________
Vice-Chairperson
____________________________________
Member
____________________________________
Member
Page 27 of 28
2021 SEAL OF GOOD LOCAL GOVERNANCE FOR BARANGAY SGLGB Form No. 1
Assessment Period: CY 2019
Revised Data Capture Form
As of __________ , 2021
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