Form No Form No. No Form No. Citizenship and Integration Direct Services Grant Progra

Citizenship and Integration Direct Services Grant Program

Copy of Quarterly Reporting Form.xlsm

Citizenship and Integration Grant Program Quarterly Report

OMB: 1615-0140

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Overview

Part I. Narrative
Part II. Individuals Served
Part III. Class Table


Sheet 1: Part I. Narrative

Citizenship and Integration Grant Program








Quarterly Report






































OMB Control Number: 1615-NEW Expiration Date: XX/XX/XXXX
An agency may not conduct or sponsor an information collection, and a person is not required to respondto a collection of information, unless it displays a valid OMB Control Number. The public reporting burden for this after award report collection of information is 28 hours. This includes the time required for reviewing instructions and completing the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to U.S. Citizenship and Immigration Services, Regulatory Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave, NW, Washington, DC 20529-2140, OMB No. 1615-NEW. Do not mail your completed form to this address. Obligation to Respond: Required to Obtain Benefits.




I. Grant Information








Organization:









Sub-Awardee Organization:









Name of Person Completing Report:









Quarter:









Date:







































II. Goals



Have you met your quarterly target for your core goals? (You can find your goals in your Program Goals Chart.)


































Yes No Core Goals
















1. Number of newly enrolled non-duplicated LPRs to enroll in citizenship instruction classes
















2. Number of LPRs for whom you provide naturalization eligilbity screening
















3. Number of LPRS for whom you prepare and submit Form N-400 with Form G-28











































If you did not meet one or more of your goals, describe actions you have taken to improve performance and how you plan to meet your goals in the future:































































































III. Accomplishments and Challenges
Identify specific accomplishments and challenges during the quarter. Place a checkmark in the appropriate column and then provide an explanation of the accomplishment or challenge. You do not need a checkmark for each topic; choose the most relevant topics for this quarter.
Topics Accomplishments Challenges Explanation
Citizenship Instruction


Student recruitment


Student retention


Student assessment


Student improvement


Curriculum development


Managing different student levels


Citizenship instruction


Development of citizenship materials (Please attach any new resources)


Following up with students on naturalization outcomes


Special events (field trips, USCIS visit, celebrations, etc.)


Other citizenship instruction topic


Naturalization Application Services


Client recruitment


Client intake


Client eligibility for naturalization


Naturalization application preparation and filing


Complex naturalization cases


BIA recognition and accreditation


Following up with clients on naturalization outcomes


Special events (info sessions, workshops, etc.)


Other naturalization application services topic


Personnel


Hiring new staff


Staff turnover


Staff training/development


Volunteer recruitment, retention, placement


Other personnel topic


Program Administration


Outreach and advertising


Partnerships


Budget


Data management and reporting


Library initiatives


Press about the grant program


Other topics
































IV. Staff Changes




Have you made any staff changes during the quarter?




























































Yes


























































No


























If yes, please explain:

















































































V. BIA Recognition and Accreditation




Indicate your progress towards BIA recognition and/or accreditation. Place a checkmark next to the appropriate response, and provide additional detail if requested.




































Received BIA recognition/accreditation during the quarter. Provide employee name, title, and date accreditation expires:





















































Renewed BIA accreditation during the quarter. Provide employee name, title, and date accreditation expires:










































Pursuing BIA recognition/accreditation. Describe progress made during the quarter:

















































Already BIA recognized and accredited. No changes to report.















































N/A, only attorneys provide naturalization application services.












































































Sheet 2: Part II. Individuals Served

GranteeOrgName Quarter AlienNumber CountryofBirth DateEnrolled ClassNumber ClassLevel HoursInClass PrePostTestUsed PreTestScore PostTestScore DateScreenedbyGrantee PreviouslyFiledN400 DateN400FiledByGrantee DateG28FiledbyGrantee N648FiledbyGrantee FeeWaiverFiledbyGrantee DateRFERespFiledbyGrantee GranteeLegalRepatInterview Date1stNatzTestPassed Date1stNatzTestFailed Date2ndNatzTestPassed Date2ndNatzTestFailed DateOathTaken

















































Sheet 3: Part III. Class Table

Grantee Org Name Class Name Class Number Class Level Name of Instructor(s) # of Aids/ Tutors Date Class Started Date Class Ended Schedule (Days/Hrs) # of Class Hours per Week # of Weeks per Class Cycle Total Instructional Hours Offered Total Enrolled Students











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