Transfer of Agency Functions – Section 32 of the Financial Management and Accountability Act 1997 Purpose: This form is to be completed for the purposes of preparing a determination under sec 32 of the FMA Act 1997 for the transfer of appropriation amounts related to the function(s) being transferred from one agency to another. Transferring Agency: Enter the name of the transferring agency Gaining Agency: Enter the name of the gaining agency Function to be transferred: Provide details of the function or program to be transferred. The details of the function being transferred should be sufficiently clear to allow accurate identification. [Attach supporting documentation] Authority and Date: What was the authority for the transfer ? (For example a change in the Administrative Arrangements Order, letters from relevant Ministers, a decision of the Prime Minister or Cabinet) Commencement Date: Enter the date on which appropriations are to transfer from the Transferring Agency to the Gaining Agency Has the Finance Minister made a previous determination under section 32 of the FMA Act in relation to the transfer of this function ? If yes, please provide details of when signed. [No previous determinations] Table 1 Table to be completed by Enter the name of the transferring agency {transferring agency} Appropriation Act/Item Appropriation Amount Appropriation Adjustments Balance of Appropriation (Col 2 plus/less Col 3) ACM Appropriation Draw Downs to [Insert date] Balance of Unspent Appropriation at [Insert date] (Col 4 less Col 5) Amount to Transfer Under s32 Determination to: [Enter the name of the gaining agency] Balance Retained by Transferring Agency (Col 6 less Col 7) Column 1 Column 2 (1) Column 3 (2) Column 4 Column 5 Column 6 Column 7 Column 8 $ $ $0.00 $0.00 $ Choose Approp. Act Choose Approp. Item Choose Year Choose Outcome $0.00 $ $0.00 $ $0.00 $ $0.00 (1) Appropriation amounts as per the Schedules to the annual appropriation Acts are as follows: (1.1) Act 1 Appropriations: (1.1.1) For administered items, this will be amounts opposite an outcome under the heading Administered Expenses; (1.1.2) For departmental items, this will be the total amount in relation to an entity under the heading Departmental Outputs. Page 1 of 3 $ $0.00 (1.2) Act 2 Appropriations: (1.2.1) For administered items, the actual appropriation item is the amount set out opposite an outcome of an entity under the heading New Administered Expenses. (1.2.2) For State, ACT, NT and local government items, the actual appropriation item is the amount set out opposite an outcome of an entity under the heading Payments to States, ACT, NT, and local government; (1.2.3) For administered assets and liabilities items, the actual appropriation item is the amount set out in relation to an entity opposite the heading Administered Assets and Liabilities. (1.2.3) For other departmental items, the actual appropriation item is the amount in relation to an entity opposite the heading Equity Injections, or opposite the heading Loans, or opposite the heading Previous Years’ Outputs. (2) If applicable, record the amounts of any adjustments to appropriation amounts in column 3 (e.g. s32 Determinations, AFMs issued, appropriation reductions approved by MfFD, Section 31 receipts). CBMS ACM Allocation – Enter the name of the transferring agency {transferring agency} Table 2 Appropriation Amount to Transfer Under s32 Determination ACM Program Amount Column 1 Column 2 Column 3 Column 4 Choose Approp. Act Choose Approp. Item Choose Year Choose Outcome $ $0.00 $ $0.00 $0.00 Enter Program Name Program Total CBMS ACM Allocation – Enter the name of the gaining agency {gaining agency} Table 3 Appropriation Amount to Transfer Under s32 Determination ACM Program Amount Column 1 Column 2 Column 3 Column 4 Choose Approp. Act Choose Approp. Item Choose Year Choose Outcome $ $0.00 $ $0.00 $0.00 Enter Program Name Program Total Page 2 of 3 CFO Sign-Off – Enter the name of the transferring agency {transferring agency} CFO Sign-Off – Enter the name of the gaining agency {gaining agency} Signature:________________________________________ Signature:________________________________________ Name:___________________________________________ Name:___________________________________________ Date:______________ Date:______________ By signing this form, I acknowledge that this request for a determination under section 32 of the FMA Act, relating to a transfer of appropriation amounts, will inform the Minister for Finance and Deregulation, for the purpose of making a determination that amends the Schedules of the Appropriation Acts, identified in column 1 of Table 1 by the amounts identified in column 7 of Table 1. By signing this form, I acknowledge that this request for a determination under section 32 of the FMA Act, relating to a transfer of appropriation amounts will inform the Minister for Finance and Deregulation, for the purpose of making a determination that amends the Schedules of the Appropriation Acts, identified in column 1 of Table 1 by the amounts identified in column 7 of Table 1. Finance Appropriation Bills and Management Team Application Checked by:_______________________ Date:___________ Date Determination Signed:_________________________ Date Determination Actioned in ACM:________________ Page 3 of 3