This document summarizes a study that measures the cost efficiency of 202 municipalities in the Czech Republic from 2003-2008. It applies both non-parametric and parametric methods to measure efficiency and explain determinants. The key findings are that population size, education levels, capital expenditures, subsidies and revenues influence inefficiency, while more political competition and voter involvement increase efficiency. When analyzing an earlier period (1994-1996), political variables influenced inefficiency differently. Small municipalities improved efficiency more over time than large municipalities.