Form 84.116Z FIPSE Comprehensive and Earmarked Annual Performance Rep

Grantee:
Report: [Year] Annual Report

[Grant Number] - [Year] Annual Report Cover Sheet

1. PR/Award Grant:

2. Program:
   Congressionally-Directed Projects

3. Institutional Name & Address:
   
   

4. Project Title:
   
   

5. US Project Director / Contact Person:

   Name:
   Title:
   Address:
   Phone:
   Fax:
   Email:

6. Performance Reporting Period:
   
   

7. Current Budget Period:

8. Authorized Representative:

Name:
Title:
Phone:

I. Project Description

Project Title:

Congressional Purpose:

Abstract:

Online References:

[URL]

Subject Categories:

Contacts:

Expense

1. Original Budget

[Start Date]

[End Date]

(2)Expenditures

[Start Date]

[End Date]

(3)Obligations
& Projected
Expenditures

(4)Estimated Balance

A. Administrative Costs

1. Personnel

$0

2. Fringe Benefits

$0

3. Travel

$0

4. Equipment

$0

5. Supplies

$0

6. Contractual

$0

7. Construction

$0

8. Other

$0

B. Language Stipends (EC-US, US-Brazil, North American projects only)

$0

C. Mobility Stipends (EC-US, US-Brazil, North American projects only)

$0

D. Indirect Costs

$0

E. Training Stipends or Scholarships

$0

Total

$0

$0

$0

$0

 

Project Cost Share Totals Provided by Institution (and Partners if applicable)

Expense

1. Original Budget

[Start Date]

[End Date]

(2)Expenditures

[Start Date]

[End Date]

(3)Obligations
& Projected
Expenditures

(4)Estimated Balance

A. Administrative Costs

1. Personnel

$0

2. Fringe Benefits

$0

3. Travel

$0

4. Equipment

$0

5. Supplies

$0

6. Contractual

$0

7. Construction

$0

8. Other

$0

B. Language Stipends (EC-US, US-Brazil, North American projects only)

$0

C. Mobility Stipends (EC-US, US-Brazil, North American projects only)

$0

D. Indirect Costs

$0

E. Training Stipends or Scholarships

$0

Total

$0

$0

$0

$0

Section 1 - Financial Data

1.

Did your organization expend more than $500,000 in Federal funds during the last fiscal year?

 

(  ) Yes

(  ) No

(  ) N/A

 

2.

When was your most recent OMB Circular A-133 audit?

 

Fiscal Year:

 

 

3.

Were there any findings under your most recent audit?

 

(  ) Yes

(  ) No

(  ) N/A

 

4.

Have all the findings been resolved through corrective actions?

 

(  ) Yes

(  ) No

(  ) N/A

 

5.

Does your organization maintain time distribution records for each employee to account for the total activity for which an employee is compensated from the present grant award?

 

(  ) Yes

(  ) No

(  ) N/A

 

6.

Does your organization have procedures in place to minimize the time elapsing between the transfer of funds to your organization by a Federal agency and your organization’s expenditures of such funds?

 

(  ) Yes

(  ) No

(  ) N/A

 

7.

Does your organization have a current negotiated indirect cost rate agreement?

 

(  ) Yes

(  ) No

 

 

 

 

Negotiated indirect cost percentage rate (please do not include the "%" sign):   

 

Expiration Date:

 

 

8.

Total funds expended for for-profits? (No commas)

 

Equipment: $   

 

 

 

 

Consultants: $   

 

 

 

 

Contractual: $   

 

9.

Total funds expended for scholarships and stipends? (No commas)

 

Scholarships: $

Stipends: $

 

Section 2 - Performance Data

1.

Has your project director changed during this reporting period?

 

(  ) Yes

(  ) No

 

1b.

If you answered "Yes," please provide the name, title, address, telephone, fax, and E-mail address of the new project director?

 

 

2.

What is the primary purpose of your Congressionally-directed grant? (Check all that apply)

 

(  ) Purchase of equipment, computers, or technology	(  ) Scholarships
(  ) Endowment	(  ) Conferences
(  ) Professional Development	(  ) Initiate a new academic program
(  ) Provide specialized training to underserved populations	(  ) Curriculum development
(  ) Support an academic program	(  ) Provide support for research activities
(  ) Enhance student services	(  ) Provide services to learners with disabilities
(  ) Provide service for veterans	(  ) Job Training
(  ) Other (Specify)

 

3.

If the purpose of the grant was to support new or ongoing academic programs, in which area(s) of study would it pertain? (Check all that apply)

 

(  ) Teacher education	(  ) Science education
(  ) Health care education	(  ) Distance learning education
(  ) Math education	(  ) Humanities or arts education
(  ) Civic engagement/leadership education	(  ) Vocational or On-the-job training education
(  ) Homeland security	(  ) Unspecified curriculum development
(  ) Professional education (law, business, journalism, etc.)	(  ) Other (Specify)
(  ) N/A

 

4.

Methods used to determine outcomes:

 

(  ) Assessments

(  ) Surveys

(  ) Observations

(  ) Focus Groups

(  ) Outcomes accounted for by deliverables (e.g., equipment purchased)

(  ) Outcomes consisted of the number of awards made (e.g., scholarships awarded)

(  ) Other (Specify)

 

5.

Deliverables as outcomes of the grant: (Check all that apply)

 

(  ) Project-based conferences	(  ) Conference materials
(  ) Conference presentations/speakers	(  ) Course Modules
(  ) Project-specific Web-site	(  ) Textbooks
(  ) Software programs	(  ) Books
(  ) Video Materials	(  ) Guides and handbooks
(  ) Printed course materials	(  ) Web-based course materials
(  ) Technical reports	(  ) Journal articles
(  ) CD-ROMs/DVDs	(  ) Purchased equipment
(  ) Other (Specify)

 

6.

List activities which addressed specific project objectives:

 

 

7.

Identify project outcomes (results of meeting objectives) that have notably impacted the Congressional purpose of your grant. Number each separately and elaborate.

 

 

8.

FIPSE administers the Congressionally-directed grants for postsecondary education by reviewing applications, distributing grant management materials, and providing technical assistance on project-specific issues. Please rate the overall quality of FIPSE's service to your project:

 

(  ) Superior

(  ) Very satisfactory

(  ) About average

(  ) Somewhat unsatisfactory

(  ) Very poor

 

9.

If you rated FIPSE's service as less than "Superior", please tell us how our service may be improved.

 

 IV. Report Files

Performance Narrative

No files