Consolidated Fiscal Reporting System (CFRS)
2005/2006 Fiscal Year (July - June) Reporting Period
Printable CFRS Schedules and Forms - These schedules and forms cannot be modified in any way. They are provided to enable users to print the blank copies, and then manually write in and consider their data visually, prior to entering their data into the CFRS software. In no way does filling these schedules out manually constitute the completion of your submission. You MUST used approved CFRS software to complete and submit your CFR, CQR, or CBR.
Note: All of the below CFRS schedules are in Adobe .PDF format. If you do not already have the Adobe Acrobat Reader installed on your computer, you will need to follow these instructions, to obtain and install a free copy of the Acrobat Reader software. In order to take advantage of new printing options, users are strongly advised to upgrade to the most recent version of the Adobe Acrobat Reader software.2005/06 Extension Request Form
Select schedules have been combined below allowing you to print sections of the CFR by only having to open one file. In order to print an individual schedule please scroll down to that section below.
To print schedules by a particular grouping, use the links below:
- Core Schedules (CFR-i through CFR-6)
- Claiming Schedules (DMH-1 through DMH-3)
- OMH Supplemental Schedules (OMH-1 through OMH-3)
- OMRDD Supplemental Schedules (OMRDD-1 through OMRDD-4)
- SED Supplemental Schedules (SED-1 & SED-4)
- Abbreviated Filer Schedules
- Mini-Abbreviated Filer Schedules
To Print Individual Schedules, use the links below:
- CFR-i - Agency Identification and Certification Statement
- CFR-ii - Accountant’s Report - Voluntary Agency or County Government
- CFR-iiA - Accountant’s Report - Voluntary Agency or County Government
- CFR-iii - County/NYC Certification Statement
- CFR-1 - Program/Site Data
- CFR-2 - Agency Fiscal Summary
- CFR-3 - Agency Administration
- CFR-4 - Personal Services
- CFR-4A - Contracted Direct Care and Clinical Personal Services
- CFR-5 - Transactions With Related Organizations/Individuals
- CFR-6 - Governing Board and Compensation Summary
- DMH-1 - Program Fiscal Summary
- DMH-2 - Aid to Localities/Direct Contract Summary
- DMH-2A - Aid to Localities/Direct Contract Equipment Summary
- DMH-3 - Aid to Localities and Direct Contracts Program Funding Source Summary
- OMH-1 - Units of Service By Program/Site
- OMH-2 - Medicaid Units of Service By Program/Site
- OMH-3 - Client Information
- OMRDD-1 - Schedule of Services - ICF/DD, CR’s, IRA’s and Day Treatment Programs
- OMRDD-2 - ICF/DD & CR Medical Supplies
- OMRDD-3 - HUD Revenues and Expenses
- OMRDD-4 - ICF/DD, CR, IRA, Day Treatment & HCBS Waiver Services Expense Detail
- SED-1 - Program and Enrollment Data
- SED-4 - Related Service Capacity, Need and Productivity
To Print the individual CQR and CBR Schedules, use the links below:
- CQR-1 - Agency Quarterly Fiscal Summary
- CQR-2 - NYC Fiscal Summary
- CBRi - Agency Identification and Certification Statement
- Admin CBR-4 - Personal Services Module
- Program CBR-4 - Personal Services Module
- DMH-2 Budget - Aid to Localities/Direct Contract Summary
- DMH-2A Budget - Aid to Localities/Direct Contract Equipment Summary
- DMH-3 Budget - Aid to Localities and Direct Contracts Program Funding Source Summary