INSTRUMEN MONITORING

PROGRAM INDONESIA PINTAR (PIP)

JENJANG SD TAHUN ANGGARAN 2023

NAMA SEKOLAH :
........................................................................................................
ALAMAT SEKOLAH :
........................................................................................................
DESA/KELURAHAN :
........................................................................................................
KECAMATAN : ........................................................................................................

DINAS PENDIDIKAN PEMUDA DAN OLAHRAGA

KABUPATEN CIANJUR
TAHUN 2023
 INSTRUMEN MONITORING DAN EVALUASI
PROGRAM INDONESIA PINTAR (PIP)
TAHUN ANGGARAN 2023

A. IDENTITAS PEMANTAU / MONITORING

NAMA :
........................................................................................................
NIP :
........................................................................................................
PANGKAT / GOL. RUANG :
........................................................................................................
JABATAN :
........................................................................................................

B. IDENTITAS LEMBAGA
NAMA SEKOLAH :
........................................................................................................
NPSN :
........................................................................................................
ALAMAT SEKOLAH :
........................................................................................................
DESA / KELURAHAN :
........................................................................................................
KECAMATAN :
........................................................................................................
KABUPATEN : CIANJUR

C. IDENTITAS RESPONDEN
NAMA :
........................................................................................................
NIP :
........................................................................................................
PANGKAT / GOL. RUANG :
........................................................................................................
JABATAN :
........................................................................................................

D. Petunjuk Pengisian :
Lingkari huruf yang ada di sebelah kiri pilihan (option) sesuai dengan jawaban responden dan isi titik-titik
dengan jawaban yang sesuai

E. Informasi Program Indonesia Pintar Sekolah Dasar (PIP-SD) 2023

1. Apakah Kepala Sekolah Memiliki Juknis PIP Tahun 2023 ?
a. Ya
b. Tidak

2. Apakah Saudara Sudah memahami Juknis PIP Tahun 2023 ?

a. Ya
b. Tidak
3. Apakah Saudara sudah memahami tentang pemadanan antara DTKS dan Dapodik?
a. Sudah
b. Belum,
Alasan :
............................................................................................................................. ..............................
............................................................................................................................. ..............................
...........................................................................................................................................................

4. Apakah Operator Sekolah Sudah Uplod Buku Tabungan Siswa Penerima PIP di Aplikasi Sipintar ?
a. Sudah
b. Belum
Alasan :
...........................................................................................................................................................
............................................................................................................................. ..............................
...........................................................................................................................................................

5. Apakah Kepala Sekolah Sudah tahu tentang Aplikasi Sipintar Enterprise?

a. Sudah
b. Belum
Alasan :
............................................................................................................................. ..............................
...........................................................................................................................................................
............................................................................................................................. ..............................

6. Jika sudah memahami Juknis PIP 2023, apakah Saudara masih mengalami kesulitan ?
a. Tidak
b. Ya,
...........................................................................................................................................................
............................................................................................................................. ..............................
............................................................................................................................. ..............................

7. Apakah Saudara mengusulkan calon penerima PIP yang benar layak mendapatkan ?
a. Sudah
b. Belum
Alasan :
............................................................................................................................. ..............................
............................................................................................................................. ..............................
...........................................................................................................................................................
 8. Apakah Saudara Sudah paham tentang SK Pemberian ?
a. Sudah
b. Belum,
Alasan :
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................

9. Apakah Saudara Sudah paham tentang SK Nominasi?

a. Sudah
b. Belum
Alasan :
............................................................................................................................. ........................
.....................................................................................................................................................
............................................................................................................................. ........................

F. Penentuan Calon Siswa Penerima PIP-SD tahun 2023

1. Apakah semua siswa di sekolah Saudara terdaftar dalam aplikasi Dapodik?
a. Ya
b. Tidak,
Alasan :

............................................................................................................................. ........................
............................................................................................................................. ........................
.....................................................................................................................................................

2. Apakah Operator di Sekolah Saudara mengentri atau memutakhirkan (updating) data siswa pemegang KIP
yang telah divalidasi sebagai calon penerima PIP ke dalam aplikasi Dapodik?
a. Ya
b. Tidak,
Alasan :

............................................................................................................................. ........................
.....................................................................................................................................................
............................................................................................................................. ........................

3. Apakah Operator di Sekolah Saudara mengentri atau memutakhirkan (updating) data siswa yang
orangtuanya memiliki KKS melalui aplikasi dapodik ?
a. Ya
b. Tidak
Alasan :
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
 4. Apakah Saudara menetapkan siswa yang layak menerima PIP tetapi tidak memiliki KIP bersama
dengan guru dan komite?
a. Ya
b. Tidak
Alasan :

............................................................................................................................. ....
............................................................................................................................. ....
............................................................................................................................. ...
.
5. Apakah Operator di Sekolah Saudara menandai status kelayakan siswa di aplikasi Dapodik sebagai calon
penerima manfaat PIP?

a. Ya
b. Tidak
Alasan :

....................................................................................................................... .....
............................................................................................................................
............................................................................................................................
G. Pencairan/Pengambilan Dana PIP-SD Tahun 2023

1. Apakah Saudara mendapatkan Surat Keputusan (SK) data Penerima PIP dari Aplikasi Sipintar Enterprise ?
a. Ya
b. Tidak

Alasan :

....................................................................................................................... .....
............................................................................................................................
............................................................................................................................

2. Apakah Saudara memasang daftar siswa penerima PIP di papan pengumuman ?

a. Ya
b. Tidak
Alasan :

....................................................................................................................... ....
............................................................................................................................
............................................................................................................................
3. Apakah Saudara mengetahui syarat pencairan PIP ?
a. Ya
b. Tidak
Alasan :

............................................................................................................................
............................................................................................................................
............................................................................................................................

4. Apakah seluruh Penerima siswa telah mengambil dana PIP-SD tahun 2023 ?
a. Ya
b. Tidak
Alasan :
............................................................................................................................
............................................................................................................................
............................................................................................................................

5. Apakah Saudara Membuat Bukti Penyerahan Dana PIP Kepada Siswa Penerima Tahun 2022 dan 2023 ?
a. Ya
b. Tidak
Alasan :
............................................................................................................................
............................................................................................................................
............................................................................................................................

6. Apakah sekolah menerima bantuan keuangan dari Komite Sekolah ?

a. Ya
b. Tidak

7. Apakah Saudara Membuat Surat Pencairan PIP Secara Kolektif atau Individu Ke BRI ?
a. Ya
b. Tidak

8. Apakah ada potongan Dana PIP ?

a. Ya
b. Tidak

9. Apakah setelah Pencairan Dana PIP buku tabungan di simpen di sekolah ?

a. Ya
b. Tidak
 10. Apakah di Sekolah Saudara ada siswa yang menerima Dana PIP dari Pemangku Kepentingan/Aspirasi ?
a. Ya
b. Tidak

11. Apakah Dana PIP yang di terima oleh siswa di peruntukan sesuai persesjen No. 14 tahun 2022 ?
a. Ya
b. Tidak
Alasan :

...............................................................................................................
...............................................................................................................
...............................................................................................................

H. Penggunaan Dana
1. Apakah Saudara memberi pengarahan kepada orang tua siswa/wali agar dana PIP-SD dipergunakan untuk
biaya personal pendidikan peserta Didik ?
a. Ya
b. Tidak
Alasan :

...............................................................................................................
...............................................................................................................
...............................................................................................................

2. Apakah Sekolah Memngumumkan Jumlah Penerima Dana PIP Kepada Orang Tua Siswa ?
a. Ya
b. Tidak
Alasan :

...............................................................................................................
...............................................................................................................
...............................................................................................................

3. Apakah Saudara membuat Laporan Pertangungjawaban Dana PIP ?

a. Ya
b. Tidak
Alasan :

...............................................................................................................
...............................................................................................................
...............................................................................................................
 4. Tuliskan beberapa masalah yang dianggap penting dalam proses pelaksanaan program PIP pada
tahun 2023 yang terkait dengan :

a. Pengusulan PIP
................................................................................................................... .......................................
................................................................................................................... .......................................
..................................................................................................... .....................................................

b. Pencairan dana PIP

................................................................................................................... .......................................
................................................................................................................... .......................................
..................................................................................................... .....................................................

c. Pemanfaatan dana PIP

................................................................................................................... .......................................
.....................................................................................................................................................
................................................................................................................... .......................................

d. Pertanggungjawaban penggunaan dana PIP

................................................................................................................... .......................................
.............................................................................................................. ..... .......................................
..................................................................................................... .....................................................

5. Tuliskan Saran dan masukan berkaitan dengan Dana PIP pada Tahun Anggaran 2023
a. ................................................................................................................... .......................................
b. ................................................................................................................... .......................................
c. ................................................................................................................... .......................................
d. ................................................................................................................... .......................................

Cianjur, .................................... 2023

Petugas Monitoring Kepala Sekolah

........................................................... ...........................................................
NIP. .................................................. NIP. ..................................................