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OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not 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 0584-0512. The time required to complete this information collection is estimated to average 60 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Department of Agriculture, Food and Nutrition Services, Office of Policy Support, 3101 Park Center Drive, Room 1014, Alexandria, VA 22302, ATTN: PRA (0584-xxxx*). Do not return the completed form to this address. OMB No. 0584-0512; Expiration Date: 03/31/2019 |
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FY 2017 TNTG Quarterly Report |
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Complete the applicable cells and add additional rows as needed |
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State: |
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Reporting Period (Quarter): |
to |
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1) |
Planned Activities for this Grant Quarter |
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Type |
Date of Activity |
Audience |
Unduplicated Participation/Numbers |
Duplicated Participation/ Numbers |
Topic |
Evidence Based Curriculm Used |
Evidence Based Tool Used |
Communication Channel Used |
Additional Comments |
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Trainings Held |
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B. |
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C. |
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D. |
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Nutrition Education |
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A. |
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B. |
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C. |
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D. |
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Nutrition Promotion |
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A. |
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B. |
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C. |
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D. |
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Conferences |
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A. |
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B. |
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C. |
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D. |
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Type |
Date of Activity |
Audience |
Unduplicated Participation/Numbers |
Duplicated Participation/ Numbers |
Topic |
Evidence Based Curriculm Used |
Evidence Based Tool Used |
Communication Channel Used |
Additional Comments |
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Meetings |
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B. |
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C. |
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D. |
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Other- please specify |
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2) |
Materials Developed: List below & provide Website Link or attachment of the new material |
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Material |
Website Link |
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Attachment included (please check) |
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B. |
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3) |
Deviations: List Below |
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TYPE |
Proposed Plan Activities |
Modifications Made |
Budget Impact (Y/N) |
Timeline Impact (Y/N) |
Justification |
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B. |
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C. |
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4) |
Budget Impact |
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A. What percentage of this year's grant funds was planned to be spent by the end of this grant quarter? |
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% |
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B. What percentage of this year's grant funds has been spent ? |
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% |
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C. If there is a difference, please explain why? |
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5) |
Planned Activities for next Grant Quarter |
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Type |
Date of Activity |
Audience |
Unduplicated Participation/Numbers |
Duplicated Participation/ Numbers |
Topic |
Evidence Based Curriculm Used |
Evidence Based Tool Used |
Communication Channel Used |
Additional Comments |
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Trainings Held |
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A. |
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B. |
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C. |
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D. |
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Nutrition Education |
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A. |
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B. |
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C. |
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D. |
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Nutrition Promotion |
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A. |
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B. |
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C. |
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D. |
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Conferences |
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A. |
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B. |
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C. |
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Meetings |
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A. |
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B. |
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C. |
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Other- please specify |
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A. |
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B. |
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6) |
Describe best practices/ highlights that you would like to share List below: |
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A. |
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B. |
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C. |
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