Form 1 RFCCMED Performance Data Form

Generic Performance Progress Report

Copy of RFCCMED Performance Data Form OMB Request (2).xlsx

Office of Refuge Resettlement Refugee Family Child Care Microenterprise Program Performance Data

OMB: 0970-0490

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OMB Control Number 0970-0490
Reporting Date:





Expiration Date: 1/31/2020
Fiscal year _____ Refugee Family Child Care Program Performance Data Form # of participants Enrolled # of participants trained # of people assisted to obtain business license # of family child care businesses started # of child care slots opened Change in household income six months after business start # of businesses sustained Change in household income at end of program period for participants establishing businesses


















THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)
















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