| Whether the AIP has been prepared in consultation with Rural Local Bodies (Gram Panchayat/Block Panchayat/District Panchayat authorities) and the relevant proposed activities have been included in GPDP/BDP/DDP) | 
                                          
                                        
                                            
                                         | 
                                    
                                    
                                        | 
                                            Whether the AIP has been prepared in consultation with  Rural Development Department, Panchayati Raj Department, Urban Development Department and Department dealing Autonomous Councils (Please tick) ?
                                         | 
                                          
                                        
                                            
                                         | 
                                    
                                    
                                        | Whether activities of AIP2025-26  included in development plan of 15th Finance Commission ? | 
                                        
                                            
                                         | 
                                    
                                    
                                        | Whether activities of AIP 2025-26 is done in consultation with Rural Development Department and  proposed  actvities are included in MNREGA  development plan ? ( Yes/ No) | 
                                        
                                             Yes
                                             No
                                         | 
                                    
                                    
                                        | Whether AIP 2025-26 is approved by State Water & Sanitation Mission  (SWSM)? ( Yes/ No) | 
                                        
                                             Yes
                                             No
                                         | 
                                    
                                    
                                        | Whether Operation & Maintenance  Policy is notified in State/ UT ? ( Yes/ No), if yes copy to be attached | 
                                        
                                             Yes
                                             No
                                                
                                         | 
                                    
                                    
                                        | Whether FSM Policy is notified in State/ UT ? ( Yes/ No), if yes copy to be attached | 
                                        
                                             Yes
                                             No
                                                
                                         | 
                                    
                                    
                                        | 
                                            State Profile
                                         | 
                                    
                                    
                                        | Total population of the District/ UTs (please mention source) | .
                                        
                                         | 
                                    
                                    
                                        | Total rural population of the District/UTs (please mention source) | 
                                         | 
                                    
                                    
                                        | Name of Districts | 
                                          | 
                                    
                                    
                                        | Number of Blocks | 
                                         | 
                                    
                                    
                                        | Number of Gram Panchayats | 
                                         | 
                                    
                                    
                                        | Number of Villages | 
                                         | 
                                    
                                    
                                        | Number of rural households | 
                                         | 
                                    
                                    
                                        | Whether above concile with SBMG IMIS ? Yes / No, If No date of reconcilation | 
                                        
                                             Yes
                                             No
                                            
                                         |