UNITED STATES DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
PERFORMANCE PROGRESS REPORT
OMB Control Number: 0584-0512 Expiration Date: xx/xx/xxxx
The public 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 3 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 in formation. 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 - 0512*). Do not return the completed form to this address.
1. Recipient Organization |
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a. Organization Name: |
2. Grant Federal Fiscal Year & Quarter: Federal Fiscal Year and Quarter should reflect the time this Progress Report is submitted a: Federal Fiscal Year: b. Federal Quarter: |
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b. Street Address:
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State: |
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3. Program Information: Program Area: Program: Tag: |
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4. Primary POC: |
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a. First Name: |
Last Name: |
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b. Title: |
5. Recipient Account Number (FAIN): |
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c. Telephone (Area Code & Number): |
d. Email Address: |
6. Type of Report (Select One): Final Quarterly Reporting Period: Semi-Annual |
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7. Federal Grant Agreement Number: |
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8. Additional POC (Optional) |
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a. First Name: |
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Last Name: |
b. Title: |
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c. Telephone (Area Code & Number): |
d. Email Address: |
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9. Report Submitted By: |
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a. First Name: |
Last Name: |
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b. Title: |
10. Certification I certify by checking this box that, to the best of my knowledge and belief, this report is correct and complete for performance of activities set forth in the award documents. |
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11. Date Report Submitted: |
Form FNS-908 (12-18) Previous Editions Obsolete SBU Electronic Form Version Designed in Adobe 10.0 Version
Program Management Information |
1. Progress Summary Provide summary of progress this reporting period, highlighting your greatest achievements and challenges to date in this reporting period. For challenges, how did you resolve or overcome them? (Max 2000 characters): |
c. If yes, please describe the changes in key personnel, including the individual leaving/joining the project as well as the name and contact information (email address, phone number, and name of organization) of the individual. Note: This information does not serve as a formal request to approve the change in key personnel. This request must be forwarded to the Grants Officer in a separate request (Max 2000 Characters): |
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Program Management Information (Continued) |
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8. Additional Comments |
Program Activities |
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Objective 1 : |
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Actual Completion Date |
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Location Beneficiaries/ Audience |
Topic (if training) |
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Outcome Indicators |
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Objective 1 : |
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Activity 1 |
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Indicator Description |
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Target |
Actual (Cumulative) |
Comments |
Final Program Metrics (Final Reporting Period Only) |
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Metric 1 Type: |
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Prompt: |
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Answer Value 1: |
Answer Value 2: |
Answer Value 3: |
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Answer Value 5: |
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Comments: |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |