Pedoman Penyusunan Rba

(1)

PEDOMAN PENYUSUNAN DAN FORMAT

RENCANA BISNIS DAN ANGGARAN

BADAN LAYANAN UMUM

LAMPIRAN LAMPIRAN P

PEERRAATTUURRAAN N DDIIRREEKKTTUUR R JJEENNDDEERRAALL PERBENDAHA

PERBENDAHARAAN RAAN NOMOR: NOMOR: .../PB/2012.../PB/2012 TE

TENTNTANANG G PEPENYUNYUSUNSUNAN AN RENRENCANCANA A BIBISNISNIS S DANDAN ANGGARAN B

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Ringkasan Eksekutif

Memua u!a"a# !"#$%a& me#$e#a" %"#e!'a BLU a(u# )e!'a*a# +20,,-1 a# a!$e %"#e!'a a(u# RBA +20,, a#$ (e#a% "aa"3 e!ma&u% a&um&"-a&um&" e#"#$ a#$ "$u#a%a# &e!a 4a%5!-4a%5! "#e!#a* a# e%&e!#a* a#$ a%a# meme#$a!u(" e#aa"a# a!$e %"#e!'a.

BAB I

PENDAHULUAN

1 U!u!

a. Kee!a#$a# !"#$%a& me#$e#a" *a#a&a# (u%um %e)e!aaa# BLU )e!ua %euu&a# a#$ e*a( "ea%a# 5*e( eme!"#a( a#$ me#a&a!" 5e!a&"5#a* BLU3 &e'a!a( )e!"!"#a a# e!%em)a#$a# BLU &ama" &aa "#" a# e!a#a##a )a$" ma&a!a%a.

). Ka!a%e!"&"% )"&#"& BLU

Kee!a#$a# !"#$%a& me#$e#a" %e$"aa# uama/5%5% BLU +e!uama a#$ me#'a" *aa#a# u#$$u*a# BLU.

" #isi$ %an Misi Ba%an La&anan U!u!

a. Kee!a#$a# me#$e#a" $am)a!a# e#a#$ %5#"&" BLU "ma&a a#$ a%a# aa#$.

). Kee!a#$a# me#$e#a" uaa a#$ a%a# "*a%u%a# BLU a*am me#aa" 6"&" aau u'ua# 'a#$%a a#'a#$ BLU. Kee!a#$a# e!&e)u me#a%u u!a"a# e#a#$ !5u%/'a&a a#$ a%a#

")e!"%a#3 &a&a!a# a&a! a#$ "u'u3 a# %e&a#$$ua# u#u% me#"#$%a%a# muu *aa#a#. . R"#$%a&a# !e#a#a %e!'a a#$ a%a# "*a%&a#a%a# 5*e( BLU a*am &au a(u# a#$$a!a# u#u%

me#aa" &a&a!a# a#$ "ea%a#. ' Bu%a&a Ba%an La&anan U!u!

N"*a"-#"*a" )uaa %e!'a a#$ "e!a%a# BLU a*am me*a%&a#a%a# u$a& &e(a!"-(a!" u#u% me#aa" 7"&" a# m"&" a#$ e*a( "ea%a#. Uaa a#$ a%a# "*a%u%a# u#u% me!u)a( 5*a "%"! me#'a" a*a %5!5!a3 m"&a*#a em)e!aaa# &um)e! aa ma#u&"a3 e#"#$%aa# %e!'a &ama3 e#"#$%aa# %"#e!'a3 a# em)e*a'a!a# 5*a ma#a'eme#.

( Susunan Pe)a*at Penge+,+a BLU %an De-an Penga-as

a. Su&u#a# Pe'a)a Pe#$e*5*a BLU a# De8a# Pe#$a8a& )e!a&a!%a# %euu&a# e'a)a a#$ )e!8e#a#$.

). U!a"a# u$a& De8a# Pe#$a8a&.

. U!a"a# em)a$"a# u$a& "a#a!a ma&"#$-ma&"#$ Pe#$e*5*a BLU.

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BAB II

.INER/A BLU TAHUN BER/ALAN 0TA "22314 DAN RENCANA BISNIS DAN ANGGARAN BLU TA "22

A Ga!*a5an .,n%isi BLU

BLU me#$u!a"%a# $am)a!a# umum &ea!a &"#$%a a# a%ua* me#$e#a" %5#"&" "#e!#a* BLU3 %5#"&" e%&e!#a* BLU &e!a a&um&" ma%!5 a# m"%!5 a#$ "$u#a%a# a*am e#u&u#a# RBA. 1. K5#"&" "#e!#a* BLU:

u!a"a# me#$e#a" %e%uaa# a# %e*ema(a# a!" %5#"&" e*aa#a#3 %eua#$a#3 5!$a#"&a&" a# SDM3 &e!a &a!a#a a# !a&a!a#a BLU &ama" e#$a# &aa e#u&u#a# RBA.

C5#5(:

a. Pe*aa#a#

Sa%e! BLU , e*a( mem"*"%" &e!"4"%a ISO 9001 &e("#$$a muu 'a&a a#$ ")e!"%a# %eaa ma&a!a%a e!'am"# %ua*"a& muu#a. Se!"4"%a ISO 9001 e!&e)u me#'a" %eu#$$u*a# &a%e! BLU , a*am me#$(aa" e!&a"#$a# e#$a# e#e"a 'a&a &e'e#"&. Namu# em"%"a#3 &"&em e*aa#a# a#$ ")e!"%a# )e*um e!"#e$!a&" &e("#$$a &u*" u#u% "*a%u%a# !ea* "me m5#"5!"#$. Te!(aa (a* "#" e!*u "*a%u%a# e#$em)a#$a# &"&em ma#a'eme# a#$ mamu me#$"#e$!a&"%a# &e*u!u( 'e#"& e*aa#a# a#$ ")e!"%a#.

). Keua#$a#

Sa%e! BLU , e*a( mem"*"%" &"&em "#45!ma&" a%u#a#&" a#$ mamu me#u%u#$ e*a5!a# %eua#$a# &e("#$$a *a5!a# %eua#$a# a#$ "(a&"*%a# *e)"( a%u!a a# ea 8a%u.

Namu# em"%"a#3 a!"4 a#$ e*a( "m"*"%" )e*um me#e!m"#%a# %5#"&" !""* &aa "#" +e!*a*u !e#a( %a!e#a "ea%a#  a(u# a#$ *a*u.

. O!$a#"&a&" a# SDM

Pe$a8a" a#$ mem"*"%" *aa! )e*a%a#$ e#""%a# a%u#a#&" ma&"( e!)aa&. Pe!*u "*a%u%a# e#am)a(a# e$a8a" e#$a# *aa! )e*a%a#$ e#""%a# &e)a$a" a%u#a#3 a# e!(aa e$a8a" " B"!5 Keua#$a# e!*u "*a%u%a# e#$em)a#$a# %aa&"a& me*a*u" e#""%a# a# e*a"(a# me#$e#a" a%u#a#&" a# %eua#$a#. Namu#3 e$a8a" " )"a#$ e%#"& *aa#a# &a#$a memaa".

. Sa!a#a a# P!a&a!a#a

K5#"&" &a!a#a a# !a&a!a#a a#$ "m"*"%" BLU RS A &aa "#" u%u memaa" u#u% me#u#'a#$ %e$"aa# )a"% %e$"aa# *aa#a# mauu# %e$"aa# am"#"&!a&". Namu# u#u% *e)"( me#"#$%a%a# %ua#"a& e*aa#a# )a$" ma&a!a%a %u!a#$ mamu "!a&a e!*u u#u% me#am)a( %aa&"a& ema "u! %e*a& ; e#$a# "*a%u%a# em)a#$u#a# $eu#$ )a!u a# e#am)a(a# e!a*aa# a#$ me#u#'a#$ e*a#a# %eaa ma&a!a%a.

2. K5#"&" e%&e!#a* BLU

Me#$u!a"%a# me#$e#a" %5#"&" " *ua! BLU a#$ mu#$%"# a%a# meme#$a!u(" %e)e!(a&"*a# e#aa"a# a!$e %"#e!'a3 "ma#a BLU "a% mem"*"%" %emamua# u#u% me#$e#a*"%a# 4a%5! e%&e!#a* &e&ua" e#$a# aa a#$ ""#$"#%a#. K5#"&" e%&e!#a* e!&e)u a#a!a *a"# %e)"'a%a# aau !5u% (u%um a#$ "%e*ua!%a# 5*e( eme!"#a(3 )e#a#a a*am3 a# %5#"&" e!e%5#5m"a# #a&"5#a*/!e$"5#a*/$*5)a*3 a# *a"#-*a"#.

C5#5( 1:

BLU a*am me#ea%a# a!$e e!*u meme!(a"%a# %5#"&" e!&a"#$a# e#$a# e#e"a )a!a#$/'a&a " &e%"a!#a. Aa%a( mamu )e!&a"#$ &ea!a *a#$&u#$3 aau BLU *e)"( )a"%

(4)

me#a!" a!$e a&a! a#$ )e!)ea &e("#$$a "a% e!*u )e!&a"#$ &ea!a *a#$&u#$ e#$a# e#e"a )a!a#$/'a&a " &e%"a!#a.

C5#5( 2:

Im*eme#a&" %e)"'a%a# UU 2</2011 e#a#$ Baa# Pe#e*e#$$a!a Jam"#a# S5&"a* +BPJS3 %(u&u&#a e!(aa BPJS Ke&e(aa# "ma#a "au!:

a. Mu*a" a(u# 2012 "8a'")%a# )a$" &e*u!u( !uma( &a%" u#u% me#am)a( %aa&"a& 'um*a( ema "u! %e*a& ; m"#"ma* 2= a!" &e*u!u( %aa&"a& !uma( &a%". Te!(aa %e8a'")a# "#"3 e#am)a(a# ema "u! %e*a& ; !uma( &a%" BLU aa "*a%u%a# e#$a# e#am)a(a# $eu#$ )a!u aau e#$a*"(a# 4u#$&" &e)a$"a# $eu#$ a#$ &ua( aa u#u% "$u#a%a# &e)a$a" ema "u! %e*a& ;.

). Pe#e!aa# %5#&e ma#a$e-a!e a#$ me#$"#e$!a&"%a# &"&em e*aa#a# a# em)"aaa# "ma#a &"&em em)aa!a# ")e!"%a# &e&ua" 'um*a( '"8a a#$ "*aa#" &e!a e#$$u#aa# a!"4 DRG.

Te!(aa %e)"'a%a# eme!"#a( e!&e)u BLU RS A e*a( mem)e#u% "m a#$ %(u&u& )e!u$a& u#u% me*a%u%a# e!&"aa# e!(aa e!u)a(a# a*am &"&em ma#a'eme# &ea!a %e&e*u!u(a#.

C5#5( ;:

Ke)"'a%a# Ba#% I#5#e&"a u#u% me#u!u#%a# "#$%a BI Rae a%a# )e!e#$a!u( e!(aa a!"4 &u)&"" )u#$a a#$ "%e#a%a# %eaa ma&a!a%a )a$" BLU e#$e*5*a a#a %(u&u& em)"aaa# e!uma(a#.

Kee!a#$a#:

Te!(aa %5#"&" "#e!#a* a# e%&e!#a*3 BLU "a% e!*u me*a%u%a# a#a*"&"& a#$ me#e"* &ee!" a#a*"&"& S>OT a# a#a*"&"& &e'e#"&.

;. A&um&" Ma%!53 a#a!a *a"#: a. T"#$%a I#4*a&" ....=

). T"#$%a Pe!um)u(a# E%5#5m" ...= . Ku!& 1 US? @ R. ...

. T"#$%a Bu#$a De5&"5 ...= e. T"#$%a Bu#$a P"#'ama#...= C5#5(:

A&um&" #"*a" u%a! maa ua#$ a&"#$ e!%a" e#$a# !e#a#a BLU mem)e*" e!a*aa# a#$ (a!$a#a &a#$a )e!$a#u#$ e#$a# #"*a" u%a! maa ua#$ a&"#$ e!&e)u. Be&a!a# #5m"#a* (a!$a e!a*aa# a#$ a%a# ")e*" 5*e( &a%e! BLU "a#um%a# a*am RBA e#$a# me#$$u#a%a# a&um&" #"*a" u%a! a#$ "e!%"!a%a# aa &aa em)e*"a# e!a*aa#.

<. A&um&" M"%!53 a#a!a *a"#:

a. Ke)"'a%a# a%u#a#&" &e&ua" e#$a# &a#a! a%u#a#&" a#$ )e!*a%u ). Su)&"" a#$ ma&"( "e!"ma a!" Peme!"#a(

. A&um&" a!"4

. A&um&" 75*ume e*aa#a#

e. Pe#$em)a#$a# e*aa#a# )a!u C5#5(:

A&um&" a!"4 a# 75*ume e*aa#a# "$u#a%a# u#u% me#u&u# e!%"!aa# a!$e e#aaa# a#$ a%a# "e!"ma 5*e( BLU. Se*a#'u#a e#$a# mem)a#"#$%a# a#a!a 5a* e#aaa# a# 5a* )"aa/)e*a#'a3 aa "e!%"!a%a# aa%a( BLU ma&"( meme!*u%a# &u)&"" a!" <

(5)

Peme!"#a(3 aau BLU mem"*"%" &u!*u& a#$ memaa" &e("#$$a "a% meme!*u%a# &u)&"" a!" Peme!"#a(.

A$a! "e!(a"%a# )a(8a %5#"&" "#e!#a* BLU3 %5#"&" e%&e!#a* BLU3 a&um&" ma%!5 a# a&um&" m"%!5 a#$ "$u#a%a#/"a#u#%a# a*am RBA aa*a( a#$ )e#a!-)e#a! )e!%a"a# e#$a# e#aa"a# a!$e BLU3 a# "'e*a&%a# %a"a##a e#$a# %e)e!(a&"*a# e#aa"a# a!$e e!&e)u.

B Pen6a7aian .ine5)a %an Ta5get .ine5)a BLU

Ba$"a# "#" me#$u!a"%a# me#$e#a" e#aa"a# %"#e!'a a(u# )e!'a*a# +a(u# 20,,-13 a# a!$e %"#e!'a a#$ a%a# "aa" +a(u# 20,,. Be)e!aa (a* a#$ e!*u "e!(a"%a# a*am e#u&u#a# )a$"a# "#" aa*a(:

1. Pe#$u%u!a# e#aa"a# %"#e!'a a(u# )e!'a*a# +20,,-1 "*a%u%a# e#$a# a!a mem)a#"#$%a# a!$e e#$a# e!%"!aa# !ea*"&a&" &ama" e#$a# a%("! a(u#.

2. U!a"a# me#$e#a" e#aa"a# %"#e!'a a(u# )e!'a*a# a# a!$e %"#e!'a "!"#" e! u#" %e!'a. Pe#e#ua# u#" %e!'a "&e&ua"%a# e#$a# %e)uu(a# BLU e#$a# meme!(a"%a# )a(8a &uau u#" %e!'a e!&e)u:

a. Me#aa e#u$a&a# u#u% me#aa" a!$e e!e#u &e)a$a" )a$"a# a!" e#aa"a# a!$e BLU &ea!a %e&e*u!u(a#.

). Mem"*"%" e'a)a a#$ ) e!a#$$u#$ 'a8a) a*am e#aa"a# a!$e a#$ "e#u%a#.

. Mem"*"%" a*5%a&" a#a. C5#5( u#" %e!'a:

1. BLU Ruma( Sa%" a#a!a *a"# u#" %e!'a "#&a*a&" 4a!ma&"3 u#" %e!'a "#&a*a&" $a8a a!u!a3 u#" %e!'a "#&a*a&" !a8a "#a3 u#" %e!'a *au#!3 a# *a"#-*a"#.

2. BLU Pe#""%a# a#a!a *a"# u#" %e!'a )"!5 aa !e%5!a3 u#" %e!'a 4a%u*a&-4a%u*a&3 Lem)a$a Pe#e*""a# a# Pe#$a)"a# Ma&a!a%a3 Lem)a$a Pe#""%a#3 u#" e*a%&a#a e%#"&.

;. Se'a*a# e#$a# !e&!u%u!"&a&" P!5$!am a# Ke$"aa#3 ma%a !umu&a# P!5$!am a# Ke$"aa# a#$ "$u#a%a# a*am RBA (a!u& &e&ua"/&ama e#$a# !umu&a# P!5$!am a# Ke$"aa# a#$ aa a*am 5%ume# Re#&!a K/L3 Re#'a K/L a# RKA-K/L.

a. P!5$!am:

1 Me!ua%a# e#'a)a!a# a!" %e)"'a%a# &e&ua" e#$a# 7"&" a# m"&" K/L a#$ !umu&a##a me#e!m"#%a# u$a& a# 4u#$&" u#" E&e*5# I aau u#" K/L a#$ )e!"&" Ke$"aa# u#u% me#aa" (a&"* e#$a# "#"%a5! %"#e!'a a#$ e!u%u!.

2 D"&e!a" e#$a# I#"%a5! K"#e!'a Uama +IKU P!5$!am &e)a$a" "#&!ume# a#$ "$u#a%a# u#u% me#$u%u! (a&"* aa "#$%a P!5$!am.

; Ha&"* me!ua%a# !e&a&" %e!'a a#$ )e!ua &e$a*a &e&uau a#$ me#e!m"#%a# )e!4u#$&"#a 5uu a!" Ke$"aa# a*am &au P!5$!am.

). Ke$"aa#:

1 Me!ua%a# e#'a)a!a# a!" P!5$!am a#$ !umu&a##a me#e!m"#%a# u$a& a# 4u#$&" Sa%e! BLU aau e#u$a&a# e!e#u K/L a#$ )e!"&" %5m5#e# Ke$"aa# u#u% me#aa" 5uu e#$a# "#"%a5! %"#e!'a a#$ e!u%u!.

2 D"&e!a" e#$a# I#"%a5! K"#e!'a Ke$"aa# +IKK &e)a$a" "#&!ume# a#$ "$u#a%a# u#u% me#$u%u! 5uu aa "#$%a Ke$"aa#.

. Ouu:

1 Me!ua%a# !e&a&" %e!'a )e!ua )a!a#$ aau 'a&a a#$ "(a&"*%a# 5*e( &uau Ke$"aa# a#$ "*a%&a#a%a# u#u% me#u%u#$ e#aa"a# &a&a!a# a# u'ua# P!5$!am a# %e)"'a%a#.

2 Aa)"*a "e!*u%a#3 5uu aa "'a)a!%a# *e)"( *a#'u a*am &u)5uu.

(6)

<. Ba&"& a%u#a#&" a#$ "$u#a%a# a*am !a#$%a e#u&u#a# a#$$a!a# &a%e! BLU )e!a&a!%a# )a&"& %a&3 a#$ )e!a!" )a(8a e#aaa# "a%u" aa &aa %a& "e!"ma 5*e( &a%e! BLU3 &e!a )e*a#'a "a%u" aa &aa %a& "%e*ua!%a# a!" &a%e! BLU.

. Ba&"& a%u#a#&" a#$ "$u#a%a# a*am !a#$%a e!("u#$a# )"aa *aa#a# e! u#" %e!'a )e!a&a!%a# )a&"& a%!ua*3 a#$ )e!a!" )"aa &ua( "a%u" a# "aa &aa e!'a"#a !a#&a%&" a#a meme!(a"%a# &aa %a& e*a( ")aa!%a# aau )e*um 5*e( &a%e! BLU. B"aa "#" a#a!a *a"# aa*a( )"aa e#u&ua# a# )"aa ")aa! "mu%a.

Da*am (a* BLU e*a( me#u&u# &a#a! )"aa a#$ )e!a&a!%a# e!("u#$a# a%u#a#&" )"aa a#$ "ea%a# 5*e( Pem"m"# BLU3 BLU aa me#$$u#a%a# &a#a! )"aa e!&e)u a*am e!("u#$a# )"aa *aa#a# e! u#" %e!'a. Namu# aa)"*a BLU )e*um me#u&u# &a#a! )"aa a#$ )e!a&a!%a# e!("u#$a# a%u#a#&" )"aa3 BLU me#$$u#a%a# &a#a! )"aa a#$ "au! 5*e( Me#e!" Keua#$a# a*am e!("u#$a# )"aa *aa#a# e! u#" %e!'a.

Pe#u&u#a# )"aa *aa#a# e! u#" %e!'a e!&e)u (a!u& "a&a!%a# aa e!("u#$a# )"aa e! *aa#a# +unit cost e! *aa#a#. O*e( %a!e#a "u BLU e!*e)"( a(u*u 8a'") me#u&u# a# mem"*"%" 5%ume# me#$e#a" )"aa e! *aa#a# +unit cost e! *aa#a#.

. Ba$" BLU e#$e*5*a a#a %(u&u&3 me#ama"%a# u*a "#45!ma&" am)a(a# a#a!a *a"# me#$e#a":

a. Pe!%em)a#$a# e#$e*5*aa# a#a &ama" e#$a# a(u# )e!'a*a# +20,,-1. ). Ha&"* a#$ e*a( "aa" mauu# %e#a*a a*am e#$e*5*aa#/e#a*u!a# a#a. . Re#a#a %e)uu(a# a#a aa a(u# 20,,.

Ke)uu(a# a#a aa a(u# 20,, aa "u&u*%a# u#u% "a*5%a&"%a# a*am APBN +BA 999.0; aau me#a!" &um)e!-&um)e! e#a#aa# *a"##a. Me%a#"&me e#$a*5%a&"a# a#a a*am APBN a# e#$$u#aa# &um)e!-&um)e! e#a#aa# *a"##a "*a%u%a# &e&ua" e#$a# %ee#ua#.

. Be)e!aa a)e* a#$ (a!u& "&a'"%a# aa )a$"a# "#" aa*a( &e)a$a" )e!"%u: a. R"#"a# Pe#aaa# Pe! U#" Ke!'a

). R"#"a# Be*a#'a Pe! U#" Ke!'a . Pe#$e*5*aa# Da#a K(u&u&

. I%("&a! Ta!$e Pe#aaa# me#u!u P!5$!am a# Ke$"aa# TA 20,, e. I%("&a! Be*a#'a/Pem)"aaa# me#u!u P!5$!am a# Ke$"aa# TA 20,, 4. Pe#aaa# a# Be*a#'a A$!e$a

$. Pe!("u#$a# B"aa Laa#a# Pe! U#" Ke!'a (. P!a%"!aa# Ma'u Pe#aaa# a# Be*a#'a BLU

Ta)e* R"#"a# Pe#aaa# Pe! U#" Ke!'a3 R"#"a# Be*a#'a Pe! U#" Ke!'a3 a# P!a%"!aa# Ma'u Pe#aaa# a# Be*a#'a BLU me#'a" aa ma&u%a# u#u% e#$"&"a# Ke!a& Ke!'a RKA-K/L. . Aau# 45!ma a)e*-a)e* aa*a( &e)a$a"ma#a 5#5( " )a8a( "#":

(7)

1 R"#"a# Pe#aaa# Pe! U#" Ke!'a

K5e U!a"a# U#"/K5e/P!5$!am/Ke$"aa#/ A%u# Pe#aaa#

TA 20,,-1 TA 20,, Ta!$e Rea*"&a&"

&.. ....

= Ta!$e I Unit 88 ...(Berisikan uraian unit) 9.999.999 9.999.999 9.999.999 .. P!5$!am F.(Berisikan uraian Program) 9.999.999 9.999.999 9.999.999  Ke$"aa# ... (Berisikan uraian Kegiatan) 9.999.999 9.999.999 9.999.999 A. Pe#aaa# BLU +Diisi uraian pendapatan per akun) 9.999.999 9.999.999 9.999.999  1. Pe#aaa# Ja&a Laa#a# BLU 9.999.999 9.999.999 9.999.999  2. Pe#aaa# H")a( BLU 9.999.999 9.999.999 9.999.999  ;. Pe#aaa# Ke!'a&ama BLU 9.999.999 9.999.999 9.999.999  <. Pe#aaa# BLU La"##a 9.999.999 9.999.999 9.999.999

B. Pe#e!"maa# RM/PHLN/PHDN/... (pendapatan selain PNBP BLU)

9.999.999 9.999.999 9.999.999 T,ta+ Pen%a7atan Unit FF..(Berisikan uraian unit)

II Unit 88 ...(Berisikan uraian unit) 9.999.999 9.999.999 9.999.999 .. P!5$!am F.(Berisikan uraian Program) 9.999.999 9.999.999 9.999.999  Ke$"aa# ... (Berisikan uraian Kegiatan) 9.999.999 9.999.999 9.999.999 A. Pe#aaa# BLU +Diisi uraian pendapatan per akun) 9.999.999 9.999.999 9.999.999  1. Pe#aaa# Ja&a Laa#a# BLU 9.999.999 9.999.999 9.999.999  2. Pe#aaa# H")a( BLU 9.999.999 9.999.999 9.999.999  ;. Pe#aaa# Ke!'a&ama BLU 9.999.999 9.999.999 9.999.999  <. Pe#aaa# BLU La"##a 9.999.999 9.999.999 9.999.999

B. Pe#e!"maa# RM/PHLN/PHDN/... (pendapatan selain PNBP BLU)

9.999.999 9.999.999 9.999.999 T,ta+ Pen%a7atan Unit FF..(Berisikan uraian unit) 9.999.999 9.999.999 9.999.999

....&

TOTAL PENDAPATAN BLU 9.999.999 9.999.999 9.999.999 TOTAL PENERIMAAN RM9PHLN9PHDN9 9.999.999 9.999.999 9.999.999

(8)

2 R"#"a# Be*a#'a Pe! U#" Ke!'a K5e

U!a"a# U#"/P!5$!am/IKU P!5$!am/ Ke$"aa#/IKK/Ouu/ A%u# Be*a#'a/De"* Be*a#'a

TA 20,,-1

TA 20,,

65*ume Da#a

Ta!$e Rea*"&a&"_{&.. ....} = Ta!$e Rea*"&a&"_{&.. ....} = SD_ 65*.

Saua# Ta!$e

SD 

I. Unit 88...(Berisikan uraian unit) 9.999.999 9.999.999 9.999.999

.. P!5$!am...(Berisikan uraian Program) 9.999.999 9.999.999 9.999.999 IKU P!5$!am :

. FF+Berisikan uraian IKU Program)

 _Ke$"aa#...(Berisikan uraian Kegiatan) 9.999.999 9.999.999 9.999.999

I#"%a5! K"#e!'a Ke$"aa# . FFF.(Berisikan uraian IKK)

. _Ouu_{...(Berisikan uraian Output) *)} _{99 &a} _{99 &a} _9.999.999 _9.999.999 _{99 &a} _9.999.999

A. Be*a#'a BLU 9.999.999 9.999.999 9.999.999

1. Be*a#'a Ba!a#$ 9.999.999 9.999.999 9.999.999

 a._{Be*a#'a Ga'" a# Tu#'a#$a#} 9.999.999 9.999.999 9.999.999

 ). ... 9.999.999 9.999.999 9.999.999

2.Be*a#'a M5a* 9.999.999 9.999.999 9.999.999

 _a.Be*a#'a_M5a*_Ta#a( _9.999.999 _9.999.999 _9.999.999

 ).... 9.999.999 9.999.999 9.999.999

B. _{Be*a#'a RM/PHLN/PHDN/....} 9.999.999 9.999.999 9.999.999

 FFF. +Diisi uraian per akun) 9.999.999 9.999.999 9.999.999

T,ta+ Be+an)a Unit 8 9.999.999 9.999.999 9.999.999

II. Unit 88...(Berisikan uraian unit) 9.999.999 9.999.999 9.999.999

.. P!5$!am...(Berisikan uraian Program) 9.999.999 9.999.999 9.999.999 IKU P!5$!am :

FF(Berisikan uraian IKU Program)

 _Ke$"aa#_{...(Berisikan uraian Kegiatan)} _9.999.999 _9.999.999 _9.999.999

I#"%a5! K"#e!'a Ke$"aa# FF.(Berisikan uraian IKK)

. _Ouu_{...(Berisikan uraian Output) *)} _{99 &a} _{99 &a} _9.999.999 _9.999.999 _{99 &a} _9.999.999

A. Be*a#'a BLU 9.999.999 9.999.999 9.999.999

1. Be*a#'a Ba!a#$ 9.999.999 9.999.999 9.999.999

 a._{Be*a#'a Ga'" a# Tu#'a#$a#} 9.999.999 9.999.999 9.999.999

 _{). ....} _9.999.999 _9.999.999 _9.999.999

2.Be*a#'a M5a* 9.999.999 9.999.999 9.999.999

 _a.Be*a#'a_M5a*_Ta#a( _9.999.999 _9.999.999 _9.999.999

 ).... 9.999.999 9.999.999 9.999.999

B. _{Be*a#'a RM/PHLN/PHDN/....} 9.999.999 9.999.999 9.999.999

 FFF. +Diisi uraian per akun) 9.999.999 9.999.999 9.999.999

T,ta+ Be+an)a Unit 888 9.999.999 9.999.999 9.999.999

%st

TOTAL BELAN/A BLU 9.999.999 9.999.999 9.999.999

Pagu Su!*e5 Dana 0SD4 :::4 TA "2231 TA "22 RM RMP PNBP BLU A. TA Be!'a*a# B. Sa*5 Ka& PLN HLN PDN HDN Caaa#:

 Apaila diperlukan! Output dapat di"aarkan#dirinci lei$ lan"ut dalam %uoutput.

**) %umer Dana (%D) diisi sesuai dengan keutu$an. Kode %D mengikuti ketentuan kode %D dalam pen&usunan 'KA K#L.

(9)

; Pe#$e*5*aa# Da#a K(u&u&

BLU a#$ me#$e*5*a a#a %(u&u& me#a'"%a# a)e*:

a. Pe!%em)a#$a# Pe#$e*5*aa# Da#a &.. a%("! a(u# 20,,-1

P5%5% Da#a Ya#$ "%e*5*a Da#a Ya#$ D"&a*u!%a# Pe#aaa# Da!" Pe#$e*5*aa# Da#a Pe!%"!aa# Sa*5 Da#a P5%5% Pe!%"!aa# Pe#aaa# a!" Pe#$e*5*aa# Ka&

+1 +2 +; +<@+1-+2 +

9.999.999 9.999.999 9.999.999 9.999.999 9.999.999

Ta)e* " aa& "$u#a%a# u#u% me#a'"%a# "#45!ma&" me#$e#a" 5%5% a#a a#$ "%e*5*a 5*e( BLU )a"% a#$ )e!a&a* a!" APBN mauu# &um)e! *a"##a3 e!ma&u% a#$ )e!a&a* a!" (")a( a# e#$$u#aa# &a*5 %a& +%5*5m 1. Pe#a*u!a# a#a a#$ e*a( "*a%u%a# +%5*5m 23 e#aaa# a#$ "e!5*e( a!" e!$u*"!a# a#a +%5*5m ;3 e!%"!aa# &a*5 a#a 5%5%. A#$%a e#aaa# aa %5*5m +; a# %5*5m + a%a# "am"*a# a*am a)e* 1 !"#"a# e#aaa#. A#$%a &a*5 a#a 5%5% aa %5*5m +< a%a# "&a'"%a# aa a)e* .). %5*5m +2

). Ke)uu(a# Da#a a(u# 20,,

Re#a#a Ke)uu(a# Da#a Sa*5 Da#a P5%5%

a#$ e!&e"a " BLU Ke)uu(a# a*5%a&"

+1 +2 ;@1-2

9.999.999 9.999.999 9.999.999

Ta)e* " aa& "$u#a%a# u#u% me#a'"%a# "#45!ma&" %e)uu(a# a#a 5%5% aa a(u# 20,,3 e#$a# meme!("u#$%a# e!%"!aa# &a*5 a#a 5%5% a#$ aa " BLU.

< I%("&a! Ta!$e Pe#aaa# me#u!u P!5$!am a# Ke$"aa# TA 20,,

K5e P!5$!am/Ke$"aa#/Sum)e! Pe#aaa# Ta!$e

.. P!5$!am: (Berisikan uraian Program) 9.999.999

 Ke$"aa#: (Berisikan uraian Kegiatan) 9.999.999 Sum)e! Pe#aaa#: (Diisi sesuai keutu$an) 9.999.999  Pe#aaa# Ja&a Laa#a# Umum 9.999.999  Pe#aaa# H")a( BLU 9.999.999  Pe#aaa# Ha&"* Ke!'a&ama BLU 9.999.999  Pe#aaa# BLU La"##a 9.999.999

...

/u!+a; Pen%a7atan 9.999.999

(10)

 I%("&a! Be*a#'a/Pem)"aaa# e! P!5$!am a# Ke$"aa# TA 20,,

K5e U!a"a# P!5$!am/IKU_{P!5$!am/Ke$"aa#/} IKK/Ouu/Sum)e! Da#a

A*5%a&"  65*umeTa!$e/ Saua# U#" Pe#a#$$u#$ 'a8a) Be*a#'a Pe$a8a" Be*a#'a Ba!a#$ Be*a#'a M5a* Ba#ua# S5&"a* Pe#$e*ua!a# Pem)"aaa#

.. P!5$!am ...(Berisikan uraian Program) 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 IKU P!5$!am :

1. F....(Berisikan uraian IKU Program)

2. FF(Berisikan uraian IKU Program)

 Ke$"aa#....(Berisikan uraian Kegiatan) 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 IKK :

1. FF. (Berisikan uraian IKK)

2. FF. (Berisikan uraian IKK)

. Ouu :(Berisikan uraianOutput) **) 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 99 &a U#" ...

1.RM 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999

2.RMP 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999

;.PNBP 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999

<.BLU 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999

.FFF  9.999.999 9.999.999 9.999.999 9.999.999 9.999.999

. Ouu : (Berisikan uraianOutput) 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 99 &a U#" ...

1.RM 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 2.RMP 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 ;.PNBP 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 <.BLU 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 .FFF  9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 ...&. /UMLAH 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 SUMBER DANA  RM 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 RMP 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 PNBP 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 BLU 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 A. TA Be!'a*a# 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 B. Sa*5 Ka& 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 PLN 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 HLN 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 PDN 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 HDN 9.999.999 9.999.999 9.999.999 9.999.999 9.999.999 Caaa#:

*) Alokasi "enis elan"a mengikuti ketentuan dalam pen&usunan 'KA K#L. Alokasi Pemia&aan dicantumkan apaila BLU menerima alokasi pemia&aan dari APBN.

**) Apaila diperlukan! Output dapat di"aarkan#dirinci lei$ lan"ut dalam %uoutput.

***) %umer Dana (%D) diisi sesuai dengan keutu$an. Kode %D mengikuti ketentuan kode %D dalam pen&usunan 'KA K#L.

(11)

 Pe#aaa# a# Be*a#'a A$!e$!a

 B"aa Laa#a# e! U#" Ke!'a

BLU me#$u!a"%a# %e&e*u!u(a# )"aa a#$ "m)u* a*am &au a(u# a#$$a!a# )e!a&a!%a# )a&"& a%!ua*. K*a&"4"%a&" )"aa &e&ua" e#$a# %e)uu(a# a# %a!a%e!"&"% BLU. Pa*"#$ %u!a#$ "%e*5m5%%a# me#'a":

a. B"aa La#$&u#$

11 U!a"a# Rea*"&a&" &.. .... TA 20,,

I. PENDAPATANBLU 9.999.999 9.999.999

1. _{Pe#aaa# Ja&a Laa#a# Umum} 9.999.999 9.999.999

Pe#aaa# Pe#e"aa# Ba!a#$ a# Ja&a Keaa Ma&a!a%a

9.999.999 9.999.999

... 9.999.999 9.999.999

2. Pe#aaa# H")a( BLU 9.999.999 9.999.999

... 9.999.999 9.999.999

;. Pe#aaa# Ha&"* Ke!'a&ama BLU 9.999.999 9.999.999

... 9.999.999 9.999.999

<. Pe#aaa# BLU La"##a 9.999.999 9.999.999

Pe#aaa# Ja&a Laa#a# Pe!)a#%a# 9.999.999 9.999.999

... 9.999.999 9.999.999

II. BELANJA OPERASIONAL 9.999.999 9.999.999

A. BELANJA BARANG BLU 9.999.999 9.999.999

1. Be*a#'a Ga'" a# Tu#'a#$a# BLU 9.999.999 9.999.999

2. Be*a#'a Ba!a#$ BLU 9.999.999 9.999.999

;. Be*a#'a Ja&a BLU 9.999.999 9.999.999

<. Be*a#'a Peme*"(a!aa# BLU 9.999.999 9.999.999

. Be*a#'a Pe!'a*a#a# BLU 9.999.999 9.999.999

. Be*a#'a Ba!a#$ a# Ja&a BLU La"##a 9.999.999 9.999.999 B. BELANJA RM/PHLN/PHDN/..+"*ua! )e*a#'a m5a* 9.999.999 9.999.999

1. Be*a#'a Pe$a8a" 9.999.999 9.999.999

... 9.999.999 9.999.999

2. Be*a#'aBa!a#$ 9.999.999 9.999.999

... 9.999.999 9.999.999

;. Be*a#'a La"##a 9.999.999 9.999.999

III. BELANJAMODAL 9.999.999 9.999.999

1. _{Be*a#'a M5a* BLU} 9.999.999 9.999.999

... 9.999.999 9.999.999

2. _{Be*a#'a M5a* RM/PHLN/PHDN/..} 9.999.999 9.999.999

... 9.999.999 9.999.999

I6. Su!*u&/+De4"&" +I-II 9.999.999 9.999.999

6. Pe#$$u#aa# Sa*5 Ka& BLU 9.999.999 9.999.999

6I. Su!*u&/+De4"&" Se)e*um Pe#e!"maa# RM/PHLN/PHDN/.. +I66 9.999.999 9.999.999

6II. Pe#e!"maa# RM/PHLN/PHDN/.. +II.BIII.2 9.999.999 9.999.999

6III. Su!*u& +De4"&" See*a( Pe#e!"maa# Da!" RM/PHLN/PHDN/.. +6I6II 9.999.999 9.999.999

I,. TOTAL ANGGARAN PENDAPATAN +I6II 9.999.999 9.999.999

(12)

B"aa *a#$&u#$ me!ua%a# &e*u!u( )"aa a#$ e!%a" *a#$&u#$ e#$a# e*aa#a# %eaa ma&a!a%a3 a#a!a *a"# me*"u" )"aa e$a8a"3 )"aa )a(a#3 )"aa 'a&a *aa#a#3 )"aa eme*"(a!aa#3 )"aa aa a# 'a&a3 a# )"aa *a#$&u#$ *a"##a a#$ )e!%a"a# *a#$&u#$ e#$a# e*aa#a# a#$ ")e!"%a# 5*e( BLU.

). B"aa T"a% La#$&u#$

B"aa "a% *a#$&u#$ me!ua%a# )"aa-)"aa a#$ "e!*u%a# u#u% am"#"&!a&" a# )"aa a#$ )e!&"4a umum a# "a% e!%a" &ea!a *a#$&u#$ e#$a# %e$"aa# e*aa#a# BLU. B"aa "#" a#a!a *a"# me*"u" )"aa e$a8a"3 )"aa am"#"&!a&" e!%a#5!a#3 )"aa eme*"(a!aa#3 )"aa *a#$$a#a# aa a# 'a&a3 )"aa !5m5&"3 )"aa )u#$a a# )"aa am"#"&!a&" )a#%.

12

N, U5aian #,+u!e

La&anan /u!+a;

1. Unit .e5)a A 99 &a

.... B"aa La#$&u#$

B"aa Pe$a8a" 9.999.999

B"aaBa(a# 9.999.999

B"aaJa&aLaa#a# 9.999.999

B"aaPeme*"(a!aa# 9.999.999

B"aa La#$$a#a# Daa a# Ja&a 9.999.999

a#La"#-*a"# 9.999.999

Jum*a( B"aa La#$&u#$ B"aa T"a% La#$&u#$

B"aaPe$a8a" 9.999.999

B"aa Am"#"&!a&" Pe!%a#5!a# 9.999.999

B"aa La#$$a#a# Daa a# Ja&a 9.999.999

B"aa P!5m5&"/Ma!%e"#$ 9.999.999

B"aaBu#$a 9.999.999

B"aa Am"#"&!a&" Ba#% 9.999.999

a#La"#-*a"# 9.999.999

Jum*a( B"aa T"a% La#$&u#$

2. Unit .e5)a B 99 &a

....

B"aaLa#$&u#$ 9.999.999

...

B"aaT"a%La#$&u#$ 9.999.999

...

(13)

C Inf,5!asi +ainn&a &ang 7e5+u %isa!7aikan

I#45!ma&" *a"##a me*"u"3 a#a!a *a"#3 "#45!ma&" me#$e#a" "#$%a %e&e(aa# Ruma( Sa%"3 a%!e"a&" e!$u!ua# "#$$"3 e#aa"a# %"#e!'a #5# %eua#$a# *a"##a +)e!ua e!5*e(a# ISO3 &)3 a# "#45!ma&" *a"##a

D A!*ang Batas Be+an)a BLU

1. RBA me#$a#u 5*a a#$$a!a# 4*e%&")e* ( leile udget  a"u )e*a#'a BLU aa me*amau" aau ")a8a( a$u a#$$a!a# &e&ua" e#$a# !ea*"&a&" e#aaa#.

2. Be*a#'a BLU a#$ me*amau" a$u a#$$a!a# aa "*a%u%a# a*am &uau a#$%a e!&e#a&e e!(aa a$u a#$$a!a# +am)a#$ )aa&.

;. Da*am me#$("u#$ am)a#$ )aa& )e*a#'a3 BLU (a!u& meme!"m)a#$%a# 4*u%ua&" %e$"aa# 5e!a&"5#a*3 a#a!a *a"# !e# #a"%/u!u# !ea*"&a&" a#$$a!a# BLU a(u# &e)e*um#a3 !ea*"&a&"/!5$#5&a a(u# a#$$a!a# )e!'a*a#3 a# a!$e a#$$a!a# BLU a(u# a#$ a%a# aa#$. <. Pe#$("u#$a# am)a#$ )aa& BLU (a#a u#u% )e*a#'a a#$ "a#a" a!" PNBP BLU a(u#

a#$$a!a# )e!'a*a#.

. Sa%e! BLU aa me*a%u%a# )e*a#'a me*amau" a$u a#$$a!a# &ama" e#$a# am)a#$ )aa& me#a(u*u" e#$e&a(a# !e7"&" DIPA.

. C5#5( e#eaa# am)a#$ )aa&:

Be!a&a!%a# *a5!a# %eua#$a# aa &a%e! BLU A3 "e!5*e( aa &e)a$a" )e!"%u: a. 2 a(u# &e)e*um#a +20,,-; Pa$u 100 M3 Rea*"&a&" )e*a#'a aa*a( 110 M. ). 1 a(u# &e)e*um#a +20,,-2 a$u 110 M3 Rea*"&a&" )e*a#'a aa*a( 12; M.

. &ama" e#$a# a%("! a(u# )e!'a*a# +20,,-1 a$u 12; M3 e!%"!aa# !ea*"&a&" )e*a#'a 1; Ma%a )e!a&a!%a# aa "aa&3 !e# !ea*"&a&" )e*a#'a BLU me#$a*am" %e#a"%a# !aa-!aa &e)e&a! 10=3 &e("#$$a aa ")e!"%a# am)a#$ )aa& 10=.

. C5#5( e!("u#$a# )e*a#'a &ama" e#$a# am)a#$ )aa& u#u% BLU e#e"a )a!a#$ a# 'a&a a# BLU e#$e*5*a %a8a&a#:

Ta!$e e#aaa# BLU &e)e&a! R 20 M a# a$u )e*a#'a#a R 20 M. Am)a#$ )aa& a#$ "ea%a# 5*e( Me#e!" Keua#$a# aa*a( 20=. Aa)"*a !ea*"&a&" e#aaa# me#"#$%a m"#"ma* &e)e&a! 20= me#'a" R2< M3 ma%a )e*a#'a a#$ aa "*a%u%a# aa*a( &e)e&a! R 20M  +20=  R. 20 M aau &e)e&a! R 2< M.

. C5#5( e!("u#$a# )e*a#'a &ama" e#$a# am)a#$ )aa& u#u% BLU e#$e*5*a a#a.

Ta!$e e#aaa# BLU &e)e&a! R 100 M a# a$u )e*a#'a#a R 20 M. Am)a#$ )aa& a#$ "ea%a# 5*e( Me#e!" Keua#$a# aa*a( 20=.

Be*a#'a a#$ aa "*a%u%a# aa*a( ma%&"ma* &e)e&a! R 20M  +20=  R. 20 M aau &e)e&a! R. 2< M3 &e&ua" e#$a# !ea*"&a&" e#aaa# a#a (a!u& me*amau" R 100 M.

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E P5aki5aan Ma)u Pen%a7atan %an P5aki5aan Ma)u Be+an)a

Paa )a$"a# "#" "u!a"%a# me#$e#a" !a%"!aa# ma'u ; +"$a a(u# %eea# u#u% )e*a#'a a# 75*ume ma&"#$-ma&"#$ 5uu )e&e!a !a%"!aa# ma'u ; +"$a a(u# %eea# u#u% a!$e e#aaa#. Pe!("u#$a# !a%"!aa# ma'u &e)a$a" a$u "#"%a&" a8a* a(u# a#$$a!a# )e!"%u#a (a!u& meme!(a"%a# 5uu !"5!"a& a#$ "#aa%a# ea )e!*a#'u &e&ua" e#$a# 5%ume# RPJMN aau RKP a#$ ma&"( )e!*a%u.

1 P5aki5aan Ma)u Pen%a7atan BLU

K5e P!5$!am/Ke$"aa#/Sum)e! Pe#aaa#/ K5e A%u# TA 20,,-1 TA 20,, TA 20,,1 TA 20,,2 TA 20,,;

.. P!5$!am: (Berisikan uraian Program)

 _{Ke$"aa#: (Berisikan uraian Kegiatan)}

Sum)e! Pe#aaa#: (Diisi sesuai keutu$an)  Pe#aaa# Ja&a Laa#a# Umum

 Pe#aaa# H")a( BLU

 Pe#aaa# Ha&"* Ke!'a&ama BLU  Pe#aaa# BLU La"##a

/u!+a; Pen%a7atan

" P5aki5aan Ma)u Be+an)a BLU

1< K5e P!5$!am/Ke$"aa#/Ouu TA 20,,-1 TA 20,, TA 20,,1 TA 20,,2 TA 20,,;

.. P!5$!am: (Berisikan uraian Program)

 Ke$"aa#: (Berisikan uraian Kegiatan)

. Ouu: (Berisikan uraian Output)

65*ume Ouu 99 &a 99 &a 99 &a 99 &a 99 &a Pagu Be+an)a Ta5get Pen%a7atan

TA "2231 TA "22 TA "22<1 TA "22<" TA "22<'

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BAB III PENUTUP

1. Ke&"mu*a#3 )e!"&"%a# e#a#$ &e*u!u( !a#$%a"a# em)a(a&a# a!" )a)-)a) &e)e*um#a &e!a (a&"*-(a&"* a#$ e*a( "aa" a# (am)aa# a*am me*a%&a#a%a# %e$"aa# &e&ua" e#$a# a#$ e*a( "ea%a# &e!a uaa emea(a# ma&a*a( a#$ "(aa" a# me#5)a mem)e!"%a# &a!a#-&a!a# a#$ "a#a#$ e!*u.

2. Ha*-(a* a#$ e!*u me#aa%a# e!(a"a# a*am !a#$%a me*a%&a#a%a# %e$"aa# BLU me*"u" a#a!a *a"#:

a. Pe#$(au&a# "ua#$ ). Pe#$(au&a# e!&e"aa# . Pe#$(au&a# a&e ea . Pe#$(au&a# a&e *a"#-*a"# e. Pem)e!"a# "#'ama#

f. Ke!'a&ama e#$a# "(a% %e"$a