The schedule reporting voluntary participant contributions collected during the period — a required companion to DFTA vouchers for programs that collect them.
Rebuilt from a real filed form with every client name, amount, and identifying detail removed. Columns, categories, and formulas are preserved exactly as the funder issues them.
Who files this
DFTA-contracted providers operating programs where participants may contribute, such as congregate and home-delivered meals.
Key requirements
Funder
NYC Department for the Aging (NYC Aging)
Jurisdiction
New York City
Fringe range
8.25%–35%
Indirect cost basis
Accepted ICR under the NYC HHS Cost Manual — 15% de minimis default if no NICRA or CPA-verified rate is on file (DFTA's own 2013 Fiscal Manual predates this and is unrevised)
What gets this form kicked back
Contributions are voluntary and confidential by statute; the report captures totals, and no participant may be denied service for not contributing.
Contributions typically offset program cost rather than counting as revenue you keep on top of the contract — check your own award language.
Allowable OTPS categories
The categories NYC DFTA recognizes on a budget or voucher. Using wording outside this list is a routine cause of returned submissions.
Meals / Nutrition
Supplies — Program
Transportation — Participants
Fees — Staff Training
Program Consultants
Equipment
Recreation & Social Activities
Printing
Postage
Utilities — Program Site
Unallowable costs
Costs NYC DFTA will not reimburse under this contract.
Services for persons under 60
Alcohol
Rules worth knowing before you file
Participants must be 60 or older
Also operates publicly as "NYC Aging" — DFTA remains the name on contracts and fiscal documents
$5,000–$25,000 requires three written estimates; $25,000 and above requires five solicitations, a minimum of three bids, plus DFTA review
Criminal background checks required for all program staff
Free voucher checker: upload a completed copy of this form and it flags unallowable costs, fringe above the ceiling, allocations that don't total 100% and totals that don't reconcile before you file. No signup; the file never leaves your browser.
Why vouchers get returned: the six checks behind most returned vouchers, and what each one looks like in a real file.
Stop filling this in by hand
Prove It Financials generates this exact form every month, populated from your own budget, payroll and invoices — with allocation percentages, fringe, and indirect already calculated and validated against NYC DFTA's own rules.