Grantee program staff

OMB Approval # 0990-0XXX

Expiration Date: XX/XX/2018

Dissemination

• How many manuscripts have you had accepted for publication in the past year (including both articles that were published and those that have been accepted but not yet published)? Do not include manuscripts previously reported as published. __

• Please list the references for any published manuscripts published in the past year.

• During the reporting period, indicate the number of times each approach was used to communicate information and raise awareness about the TPP-funded program

_____ Brochure/Newsletter/E-Newsletter

_____ Press Release

_____ Radio/TV advertisement

_____ Newspaper/Magazine article

_____ Peer Reviewed Publication (include box to require grantee to enter citation)

_____ Other (explain)

• During the reporting period, where was information about the program presented? Write the number of times each presentation occurred.

_____National Conference/Event (include box to require grantee to enter citation)

_____Statewide Conference/Event (include box to require grantee to enter citation)

_____Local Meeting/Event

_____Other (explain)

The performance measures reported to the agency will be obtained by summing the responses to the questions across grantee types (e.g., Tier 1A) and tiers 1 and 2.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0XXX. The time required to complete this information collection is estimated to average 0.25 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer.