Government of Jammu & Kashmir

Back to Village

June 20-27, 2019

Planning, Development and Monitoring Department

Rural Development and PRI Department
Civil Secretariat, Srinagar
 General instructions for the visiting officer

i. The visiting officer shall assess the ground situation of allotted

Panchayat vis-a-vis perception of local public, data provided by
different Departments, inputs shared by the PRI/ prominent citizens
and his own observations.
ii. Any conclusions drawn shall include a holistic view point of the
general public including stakeholders. Efforts shall be made to bring
out general highlights of the area based on consensus.
iii. The visiting officer shall restrain himself/ herself from giving or
offering any commitment on behalf of the government.
iv. The visiting officer shall adopt an unbiased attitude in reporting
issues of public importance.
v. The report of the visiting officer shall be submitted both physically and
electronically in the pre-circulated format. The officer shall exercise all
care and objectivity while filling up the relevant form.
vi. A suggestive activity schedule has been prepared for the visiting
officer. It shall be incumbent on the officer to ensure that all activities
and elements mentioned in the schedule are carried out/ covered
fully.
vii. The officer shall participate in the Gram Sabha and also ask the
Gram Panchayat to constitute Social Audit Committee incase the
same has not been constituted earlier.
viii. He/She shall also hold interactions with prominent citizens, frontline
government functionaries, NGOs/ social organization, respectables of
the area and the general public.
ix. He/She shall also visit schools, health institutions besides important
village assets/ amenities related to various sectors.
x. The visiting officer shall inspect major languishing projects,
inaugurate playgrounds (if any), participate in exhibition melas,
distribution of certificates, etc.
xi. The officer shall during all his interactions emphasize on education,
nutrition and health of children, empowerment of women, general
cleanliness, solid waste management, organic farming, vermi-
composting, rain water harvesting and water conservation.

Back to village initiative/ PD&MD/2019 2

 Activity schedule/ check list for the Visiting Officer

Day-01:
 Arrival in the Gram Panchayat (by 10:00 a.m)
 Capture picture at 10:00 AM.
 Interaction with:
 PRI members.
 Frontline government functionaries (Doctor/ Teacher/ Patwari/ AWWs/
ASHAs/ANMs/ VLW/ PDS storekeeper/ representatives of PHE, PDD,
PWD, Agriculture, Animal Sheep, Horticulture, etc.)
 Social activists/ NGOs.
 Prominent citizens/ retired teachers/ govt. employees/ ex-servicemen,
etc.
 Visit to local schools, health institutions, AWCs, government assets, banks,
water bodies, tubewell, electric station, important private enterprises.
 Visit to important ongoing and languishing projects/ works.
 Inauguration of playfield/ any other building/ work.
 Evening informal interaction with PRI representatives, frontline government
functionaries and prominent citizens to discuss and deliberate upon the
core problems/ issues being faced by the locals of the Gram Panchayat.
 Capture evening interaction picture by 8:00 p.m.

Day-02:
 Capture picture at 7:00 a.m.
 Participation in the Gram Sabha meeting.
 Participation in Women Gram Sabha meeting.
 Constitution of Social Audit Committee by the Gram Panchayat, if not
constituted already.
 Visit to and participation in Exhibition/ Mela.
 Distribution of certificates/ benefits/ opening of accounts, insurance
policies, filling of application forms for various schemes.
 Shramdan/ cleanliness drive within the Gram Panchayat.
 Capture picture at 6:00 p.m.
////

Back to village initiative/ PD&MD/2019 3

 Back to the village
(Format to be filled up by the Reporting Officer during his/her two day visit to the
Gram Panchayat)

A) DETAILS OF REPORTING OFFICER:

i. Name:
ii. Designation:
iii. Department/ place of posting:
iv. Mobile No:
v. Email id:
vi. Date of visit:

B) LOCATIONAL DETAILS OF GRAM PANCHAYAT:

i. Name of the Gram Panchayat (GP):
ii. Local Government Directory (LGD) code of the GP:
(To be sourced from Rural Development Department)
iii. Name of CD Block:
iv. Name of Tehsil:
v. Name of District:

C) PANCHAYAT PROFILE:
i. Name(s) of revenue villages in the Gram Panchayat:
1.2.3.
4. 5.
ii. No. of hamlets in the GP:
iii. No. of households in the GP:
iv. Population (approx) of the GP:
v. Significant geographical feature of the GP (hilly/ kandi/ plain):
vi. Key natural resources of the GP (forest/ water bodies/ minerals/ others/ None):

Back to village initiative/ PD&MD/2019 4

 Key Amenities in the Gram Panchayat

1. STATUS OF ROADS:
i. Whether Gram Panchayat is connected with road (Yes/No):
ii. If yes, type of existing road connecting to GP:
a) Black topped
b) Metalled
c) Shingled
d) Fair-weather
iii. Condition of existing roadconnecting to GP:
a) Good
b) Average
c) Dilapidated
iv. General condition of internal roads/ link roads of the GP:
a) Good
b) Average
c) Dilapidated
d) No internal roads as the area is hilly.
v. Number of unconnected habitations having population of 250 or more souls (with
name):

vi. Requirement/ demand of construction/up-gradation of roads/ bridges/ culverts

[with name/ length (Max. 03 works)]:
Name of the road/ bridge/ culvert Approx. Length in Kms/ Mtrs
1.
2.
3.

2. DRINKING WATER/ WATER BODIES:

i. Source of drinking water:
a) Tapped Water
b) Tubewell/ Dug well
c) Natural Source(spring, nallah, bowli, river)
d) HandPump
e) Others (please specify)
ii. Is the availability of drinking water sufficient? (Yes/No)

Back to village initiative/ PD&MD/2019 5

 iii. Quality of drinking water in the Gram Panchayat:
a) Very Good
b) Average
c) Not fit for consumption.
iv. Number of hamlets without tapped water supply (with name):
v. Coverage of households through tapped water:
a) Fullycovered
b) Substantially covered
c) Partially covered
d) Not covered
vi. Frequency of water supply(for connected habitations):
a) Daily(___ hrs/day)
b) Thrice a week (___ hrs/day)
c) Twice a week (___ hrs/day)
d) Weekly (___ hrs/day)
vii. Prevalence of diseases on account of unhygienic water supply (as reported):
a) Frequently
b) Sometimes
c) Never
viii. Water Sources untapped, if any:
ix. Necessity and further demand regarding drinking water supply:
a. Demand for pipes
b. New schemes demanded/ required (Max 3, give details):
1.
2.
3.
c. Upgradation of existing schemes required (name of scheme with nature
of upgradation required):

x. Water bodies in the GP (Numbers):

S. Type of water body Water bodies in the Gram Panchayat
No Total number Maintained Requiring
conservation/
restoration
1 Ponds
2 Springs/Bowlis
3 Wells
4 Any other, specify

Back to village initiative/ PD&MD/2019 6

3. POWER SUPPLY:
i. Are all hamlets connected with power supply: Yes/No?
ii. Number (with names) of Hamlets not having power connectivity:
iii. Overall availability of daily power supply:
During winter During summer
a. 0-6 hrs a. 0-6 hrs
b. 6-12 hrs b. 6-12 hrs
c. 12-18 hrs c. 12-18 hrs
d. 18-24 hrs d. 18-24 hrs
iv. Number of transformers in the Gram Panchayat: _____
v. Approximate number of transformers damaged during peak season of demand for
electricity: _____
vi. Average time taken by PDD for repair of damaged transformer:
a. Week
b. 15 days
c. One month
d. More than one month
vii. General assessment about quality of voltage:
During winter During summer
a. Good a. Good
b. Average b. Average
c. Below Average c. Below Average
viii. Registration of domestic consumers with PDD (approx. percentage): %
ix. Number and percentage of households metered: (_____ No) (_____ %)
x. Are there any instances where trees are being used for supporting HT/LT line
conductor (Yes/ No):
xi. If yes, requirement of approximate number of additional poles:
xii. Are there any critical loose wiring/ conductors which are threat to human life (Yes/
No):
xiii. Any additional transformer/ upgradation of facility required? (give details):

4. HEALTH SECTOR:
Sub-Centre:
i. Number of Sub Centres in the Gram Panchayat: ____
ii. Total number of sanctioned posts (including NHM):

Back to village initiative/ PD&MD/2019 7

 iii. Total number of posts filled up (including NHM):
iv. Are medicines available in Sub Centres (Yes/ No):

Primary Health Centre:

i. Whether PHC is available within the Gram Panchayat (Yes/ No):
ii. If no, distance (in Kms) of nearest PHC from the Gram Panchayat: ____ Kms
iii. If PHC is available within the Gram Panchayat:
a) Whether housed in govt or rented building: (Govt/ Rented)
b) In case of Govt building, additional requirement of accommodation, if any:

c) Deficiency of critical medical equipments, if any:

d) No. of doctors attending the patients in the PHC: ______

e) Are medicines available in PHC (Yes/ No):
f) Availability of ambulance in the PHC (Yes/ No):
g) Whether power supply backup is available in the PHC (Yes/ No/ Non
Functional):
h) Whether separate toilet facility is available in the PHC for females (Yes/
No/ Non-functional):
i) Whether lab facility is available in the PHC (Yes/ No):
j) Whether institutional deliveries are conducted in the PHC (Yes/ No):
General Health Parameters:
i. Distance to the nearest secondary health institution (DH/ SDH/ CHC) from the
Gram Panchayat: ____ Kms
ii. Institutional deliveriespercentage (approx): %
iii. Whether the pregnant women are aware of the routine Antenatal Care (ANC)
checkups (Yes/ No):
{Note: A pregnant lady is required to get 04 ANCs during her pregnancy}

iv. Whether pregnant women are receiving Rs 1400/- under Janani Suraksha Yojna
(JSY) at the time of delivery in govt health institutions (On time/ Delayed/ Never):
v. Whether pregnant women/ sick infants are getting free treatment under Janani
Shishu Suraksha Karyakaram (JSSK) in govt health institutions (Yes/ No):
vi. Mode of transport for ferrying patients, especially pregnant women, to the nearby
hospital (in case of non-availability of ambulance):
vii. General assessment of people of the Gram Panchayat about theimmunisation
programmeof their children:
a) Poor

Back to village initiative/ PD&MD/2019 8

 b) Good
c) Excellent
{Note: As per immunisation schedule, a child is to be immunised at birth [BCG/OPV-0,
Hepatitis B]; after 06 weeks [OPV-1, Pentavalent-1]; after 10 weeks [OPV-2, Pentavalent-
2]; after 14 weeks [OPV-3, Pentavalent-3, IPV]; at the age of 09 months [Measles Rubella
(MR)-1, Vitamin A1] and between 16-24 months [Measles Rubella (MR)-2, Vitamin A2,
st
OPV Booster, DTP-1 Booster]}

viii. Whether children are being screened/ examined in AWCs by the team of doctors
and paramedics under Rashtriya Bal Swasthiya Karyakaram (RBSK) (Yes/ No):

ix. Whether children are being screened/ examined in schools by the team of doctors
and paramedics under RBSK (Yes/ No):

x. Number of children in the GP identified during screening for any defects at birth,
deficiencies, diseases and developmental delays including disability: ____ No.

xi. How many of them have been referred to higher institutions for treatment: ____No

xii. General awareness about the Ayushman Bharat Programme/ Golden Insurance
Card (Poor/ Good/ Very Good):

xiii. Has anybody in the GP availed benefit under Ayushman Bharat Programme (yes/
No):

xiv. If yes, satisfaction level (Poor/ Good/ Very Good):

xv. No. of infant (0-1 year age) deaths in the GP during last year (January, 2018 to
December, 2018): ______

xvi. No. of maternal deaths (during pregnancy period or within 42 days of delivery) in
the GP during last year (January, 2018 to December, 2018): ______

xvii. Overall satisfaction level about the performance of ASHA workers among the
locals (Poor/ Good/ Very Good):

xviii. Any demands pertaining to health sector (please give details- maximum 03):
1.
2.
3.

5. EDUCATION SECTOR:
i. No. of Government Primary Schools in the Gram Panchayat: ______
Facilities available in PS PS 1 PS 2 PS 3 PS 4
Name of Primary school
Building (Govt/ rented)
Enrolment
No. of teachers available
No. of operational classes
No. of classrooms available

Back to village initiative/ PD&MD/2019 9

 Facilities available in PS PS 1 PS 2 PS 3 PS 4
Compound wall (Yes/ No)
Toilet facility available (Yes/ No)
Drinking water facility (Yes/ No)
MDM served regularly (Yes/ No)
Quality of food served (Poor/
Good/ Very Good)
Condition of the connecting road
(good/ average/ dilapidated)
ii. No. of Middle Schools in GP: ________
Facilities available in MS MS 1 MS 2 MS 3
Name of Middle school
Building (Govt/ rented)
Enrolment
No. of teachers available
No. of operational classes
No. of classrooms available
Compound wall (Yes/ No)
Toilet facility available (Yes/ No)
Separate toilet facility for girls (Yes/ No/ NA)
Drinking water facility (Yes/ No)
Playground available (Yes/ No)
MDM served regularly (Yes/ No)
Quality of food served (Poor/ Average/ Good/
Very Good)
Condition of the connecting road (good/
average/ dilapidated)
iii. No. of High Schools in the Gram Panchayat: ______
Facilities available in HS HS 1 HS 2
Name of High school
Building (Govt/ rented)
Enrolment
No. of teachers available
No. of operational classes
No. of classrooms available
Compound wall (Yes/ No)
Toilet facility available (Yes/ No)
Separate toilet facility for girls (Yes/ No/ NA)
Drinking water facility (Yes/ No)
Playground available (Yes/ No)
Electricity available (Yes/ No)
Computer facility available (Yes/ No)
Condition of Science Laboratory (Poor/ Good/ Very Good)
Condition of the connecting road (good/ average/
dilapidated)

Back to village initiative/ PD&MD/2019 10

 iv. In case Primary School is not available in the Gram Panchayat, distance to the
nearest PS: _____Kms
v. In case Middle School is not available in the Gram Panchayat, distance to the
nearest MS: _____Kms
vi. In case High School is not available in the Gram Panchayat, distance to the
nearest HS: _____Kms
vii. Distance of nearest Higher Secondary school from Gram Panchayat: ____ Kms
viii. Condition of the road connecting HSS (please specify):

ix. Distance of nearest College from Gram Panchayat: ____ Kms

x. Number of Private Schools in the Gram Panchayat, if any:
Primary School: _____, Middle School: _____, High School: _____
xi. Is the Gram Panchayat aware that the MDM scheme shall be implemented
through them (Yes/ No):
xii. Any demands pertaining to education sector (please give details- maximum 03):
1.
2.
3.

6. ECONOMY/LIVELIHOODS:
i. Primary source of livelihood:
a. Farming
b. Non-farming- Weaving/Embroidery/Carpentry/others (please specify).
ii. Major agri crops grown in GP:
a. Rabi (Winter Crops)
b. Kharif (Summer Crops)
iii. Major Horticulture Crops grown in GP
iv. Availability of fertilizer/pesticides outlet in the GP (Yes/No):
v. Any organic fertilisers/ vermi-composting being used/ done by farmers (Nobody/
Few/ Many/ All):
vi. Major source of irrigation (with %age):
a. Canal
b. Ponds
c. Tubewells
d. Springs
e. Rainfed
f. Others

Back to village initiative/ PD&MD/2019 11

 vii. Whether rain water harvesting/ conservation measures are being adopted by the
locals in the GP (Yes/No):
viii. If yes, number of water harvesting tanks in the GP:
ix. Coverage of soil health cards in GP: _____%
x. Whether Crop Insurance Cards are being issued to the farmers in the GP (Yes/
No):
xi. Whether Panchayat has potential for:
a. Agriculture
b. Horticulture
c. Plantation
d. Dairy farming
e. Animal/ Sheep Husbandry
f. Floriculture
g. Fisheries/ Aquaculture
h. Any other (plz specify)
xii. Any marketable surplus available after own consumption (Yes/ No). Plz specify if
yes:
xiii. If yes, whether marketable surplus is :
a. Sold in organised market.
b. Sold in unorganised market.
c. Wasted due to non-availability of any marketing facility.
xiv. Visits by agriculture extension officials to the GP (Regularly/ Sometimes/
Never/Not Applicable):
xv. Number of cocoon rearers in the GP:
xvi. Production of cocoons (green) during2018-19 in the GP: ______ quintals
xvii. Livestock population (in numbers) in the GP:
a. Cattle
b. Buffaloes
c. Sheep
d. Goat
e. Yak/ Mithun
f. Others
xviii. Total poultry population (in numbers) in the GP:
xix. Nearest Veterinary Centre (distance from Panchayat Hq in Kms).
xx. Nearest Sheep Extension Centre (distance from Panchayat Hq in Kms).
xxi. Visits by veterinary extension officials to the GP (Regularly/ Sometimes/ Never/
Not Applicable):

Back to village initiative/ PD&MD/2019 12

 xxii. Average quantity of cow dung (in Kgs) produced per day in the GP: ______ Kg
xxiii. How is the cow dung used:
a. As fuel
b. Manure/ vermin-composting
c. Biogas generation
d. Any other use, plz specify
e. Not used/ wasted
xxiv. Potential for skill activities/ traditional crafts-specify:
xxv. Number of Self Help Groups active in the GP (Plz mention activities):

xxvi. Any problems being faced by the SHGs, please specify:

xxvii. Major cottage industries in GP (please specify):

Activity Persons engaged
1._____________________ (Male/ Female/ Both)
2._____________________ (Male/ Female/ Both)
3._____________________ (Male/ Female/ Both)
4._____________________ (Male/ Female/ Both)

xxviii. Number of small enterprises/ industries/ shops/ others in the GP:

a. Number of small scale industrial units in the GP: _____
b. Number of shops/ other establishment in the GP: _____
Total (a+b): _____
xxix. Please specify the activity in which small scale industrial units are predominantly
engaged:
1.
2.
3.

xxx. Number of persons engaged in government service: ____

xxxi. Number of persons belonging to GP engaged in private sector: ____
xxxii. Potential for village tourism:
a. Pleasure
b. Religious

Back to village initiative/ PD&MD/2019 13

 c. Historic
d. Adventure
e. Others (Please specify)
f. Nil
xxxiii. Constraints in village tourism:

xxxiv. Is there any land available in the GP for afforestation? If yes, approx. area: _____
Kanals

7. SPORTS
i. Popular sports in the Gram Panchayat:
ii. Number of playfields in the Gram Panchayat:____
iii. Whether the available playfields require further development (Yes/ No):
iv. In case no playfield is available, please indicate the availability of land for
development of playfield in the GP (give details):

v. Details of upcoming prominent sports persons in the GP (Max 05):

Name Sport
1.
2.
3.
4.
5.

8. LIBRARY:
i. Availability of Library in the GP (Yes/ No):
ii. If no, distance to the nearest library: ___kms

9. ENTERTAINMENT:
i. Source of entertainment :
a. Rural sports
b. Festivals/Melas
c. Local Folk/Artists
d. Open air theatres
e. Others, please specify

Back to village initiative/ PD&MD/2019 14

10. TELECOM CONNECTIVITY:
i. Whether Mobile connectivity is availablein all hamlets of the GP (Yes/No):
ii. No. of hamlets not having mobile connectivity:
iii. Name of service provider(s):
iv. If yes, quality of network:
a. Very Good
b. Average
c. Poor
v. Whether internet connectivity (2G/3G/4G) available (Yes/No):
vi. Whether Doordarshan TV signal is available in the GP (Yes/ No):
vii. Availability of Common Service Centres (Yes/ No):

11. BANKING (FINANCIAL INCLUSION) :

i. Whether banking facility available or not (Yes/No):
ii. If yes, type:
a. Post Office
b. Branch/Micro Branch
c. Khidmat Centre
iii. Nearest ATM (in Kms): _____
iv. Individuals (20-65 age) having Jan Dhan Accounts: (Approx. ____%)
v. Frequent mode of e-transaction:
a. Credit/ Debit card
b. Net banking
c. Mobile wallet
d. Any other online payment mode
vi. General assessment about Direct Benefit Transfer (DBT) under various
government schemes (satisfied/ not satisfied):

vii. Key source of lending facility for agriculture, horticulture and allied activities:
a. KCC
b. Bank loan
c. Money Lender
d. Family & friends

12. HOUSING

Back to village initiative/ PD&MD/2019 15

 i. Number of families who received financial assistance under Pradhan Mantri Awas
Yojana (PMAY) for construction of houses during financial year 2018-19:
ii. General assessment of beneficiaries who have availed assistance under PMAY in
GP (Poor/ Satisfactory/ Good):
iii. Whether financial assistance under PMAY been provided (in time/ delayed):
iv. Any difficulty faced in availing financial assistance under PMAY, plz specify:

v. No of identified eligible households yet to be covered under PMAY:

13. SANITATION:
i. General assessment of the visiting officer about the cleanliness in the Gram
Panchayat (Poor/ Satisfactory/ Good):
ii. Availability of Community Sanitary Complexes in Halqa Panchayat: Yes/No
iii. Whether maintained by public (Yes/ No):
iv. Whether all households are having toilet facility (Yes/ No):
v. Whether toilet facility is being used by the locals (Yes/ No):
vi. Is Open Defecation still prevalent in the Panchayat (Yes/ No):
vii. If yes, percentage of Open Defecation: ____%
viii. Any facility for Solid Waste Management existing in the Panchayat (Yes/ No):
ix. In case the facility of Solid Waste Management is not available, is the Panchayat
willing to undertake the activity along with provision of land (Yes/ No):

14. RURAL DEVELOPMENT AND PRI:

MGNREGA:
i. Are job cards available with all eligible households (Yes/ No):
ii. When were the job cards last verified: _________
iii. Are seven registers being maintained and verified (Yes/ No):
iv. Has Social Audit Committee been formed in the GP (Yes/ No):
v. In case no Social Audit Committee has been formed in GP, was the same
constituted in the Gram Sabha meeting held in presence of the visiting officer
(Yes/ No):
vi. Are Community Information Boards being installed on MGNREGA works (Yes/
No):
Panchayati Raj Institutions:
i. Whether Gram Sabhas are being conducted regularly (Yes No):
ii. Whether women/ reserved category members of Gram Sabha do participate in the
meetings (Yes/ No):

Back to village initiative/ PD&MD/2019 16

 iii. Whether all departmental plans being prepared in Gram Sabha (Yes/ No):
iv. Are the members of the GP aware about the funds received under 14thFC (Yes/
No):
v. Has 14th FC plan been prepared and approved by the Gram Sabha (Yes/ No):
vi. Whether Gram Panchayat Development Plan is being prepared on yearly basis
(Yes/ No):

15. PUBLIC DISTRIBUTION SYSTEM FACILITY

i. Whether PDS outlet available in the GP (Yes/No):
ii. Whether supply of food grains is made available regularly (Yes/ No):
iii. Quality of PDS grain (Poor/ Average/ Good/ Very Good)
iv. Whether PHH/ NPHH/ exclusion category list is displayed at the PDS outlet/
Panchayat Garh (yes/ No):
v. Whether Rate list displayed at the PDS outlet (Yes/ No):
vi. Whether PoS machine installed at PDS outlet (Yes/ No):
vii. Coverage of LPG connections under UJJWALA (Partially/ Fully):

16. WOMEN AND CHILD DEVELOPMENT:

i. No. of Anganwadi Centre (AWCs)in the GP: ____
ii. Availability of nutrition items in the AWC(Always/Not-regularly)
iii. Quality of food served to the children (Poor/Good)
iv. General Assessment about the performance of the AWC (Poor/Average/Good)
v. Is the Panchayat aware that they shall be implementing the ICDS scheme now
(Yes/ No):
vi. Whether Village Health and Nutrition Day (VH&ND) is being observed at AWC
(Regularly/Not regularly)
vii. General assessment about the performance of the services provided on VH&ND
(Poor/ Satisfactory/Good)
viii. Has any lady received cash assistance of Rs 5000/- for her 1st issue under
Pradhan Mantri Matru Vandana Yojana in the GP (Yes/ No):

17. PUBLIC TRANSPORT SYSTEM:

i. Is Panchayat connected by public transport (Yes/ No):
ii. If yes, does it suffice the requirements of the GP (Yes/ No):
iii. General problems related to public transport (if any):

Back to village initiative/ PD&MD/2019 17

18. SKILL DEVELOPMENT:
i. Is there any existing skill development programme/institution operational in the
Panchayat (Yes/ No):
ii. Indicate particular sector where there is demand for vocational training:

19. COVERAGE OF PENSION SCHEMES:

i. Old Age Pension Scheme:
a. Are all eligible beneficiaries covered (Yes/ No):
b. Whether beneficiaries are receiving pension regularly-
monthly/quarterly/yearly:
c. Mode of payment- Deposited in bank/postal money order/other:
ii. Widow Pension Scheme:
a. Are all eligible beneficiaries covered (Yes/ No):
b. If beneficiaries receiving pension regularly -monthly/quarterly/yearly:
c. Mode of payment- Deposited in bank/postal money order/other:
iii. Disability Pension Scheme:
a. Are all eligible beneficiaries covered (Yes/ No):
b. Are beneficiaries receiving pension (Regularly/ Monthly/Quarterly/Yearly):
c. Mode of payment- (DBT/ Postal Money Order/ Other):
iv. Is the list of beneficiaries being shared with Gram Panchayat/ Gram Sabha (Yes/
No):
v. General problem faced in implementation of above stated pension schemes, if
any:

20. OTHERS:
i. Whether Community Hall is available in Gram Panchayat (Yes/ No / under
construction):
ii. Whether Panchayat Ghar is available in Gram Panchayat (Yes/ No / under
construction):
iii. If no, is land available for construction of the Panchayat Ghar (Yes/ No):
iv. Whether internet facility has been provided in the Panchayat Ghar (Yes/ No):
v. Whether electricity has been provided in the Panchayat Ghar (Yes/ No):
vi. Is there any heritage building in the GP (Plz specify):

vii. If yes, whether said building is being properly maintained (Yes/ No):
viii. Number of major and critical projects/ workswhich are languishing for completion
for more than three years (Plz specify three major works, if any):

Back to village initiative/ PD&MD/2019 18

 Name of the work Department concerned
1.
2.
3.
ix. Prevalence of drug menace in the GP (Nil/ Very Low/ Low/ High/ Very High):
x. Is there any unused safe building in the GP which can be put to productive use
(Plz specify):
xi. Is there any unsafe government building in the GP (details with name of the
department):

21. GOOD GOVERNANCE:

i. Public perception on:
a. Overall accessibility of Government Departments (Poor/ Good/ Very Good)
b. Overall responsiveness of Government Departments (Poor/ Good/ Very
Good)
ii. Best performing departments a) __________ b) ___________ c) ___________
iii. Poor performing departments a) __________ b) ___________ c) __________
iv. Any specific observation regarding any particular department.
////

Back to village initiative/ PD&MD/2019 19

 General assessment of the visiting officer
A Main economic activities/ source of livelihood in the GP (Max. 05):
1.
2.
3.
4.
5.
B Major potential areas which can be used to improve economic status of the GP
(Max. 05):
1.
2.
3.
4.
5.
C Major problems confronting the people in the GP (Max. 05):
1.
2.
3.
4.
5.
D Urgent public demands in order of priority (Max. 07):
1.
2.
3.
4.
5.
6.
7.
E Any major complaint brought to notice:

Signature of the visiting officer

Back to village initiative/ PD&MD/2019 20