| Grantee Name | 
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 | OMB Control Number: 0970-0490 | 
	
		| Grant Number | 
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 | Expiration Date: 1/31/2020 | 
	
		| Reporting Period | 
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		| Microenterprise Development Program Indicators | 
	
		| Category | Annual Goal | Semi-Annual Results | Annual Results (SA1 + SA2) | Cumulative Program Goal | Cumulative Program Results | 
	
		| SA1 | SA2 | 
	
		| Enrollment | 
	
		| Individuals Enrolled | 
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		| Technical Assistance | 
	
		| Pre-loan TA hours | 
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		| Post-loan TA hours | 
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		| Loans | 
	
		| Number of Start-up Loans Disbursed (MED) | 
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		| Number of Stabilization/Expansion Loans Disbursed (MED) | 
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		| Number of Credit Building Loans Disbursed (CBL) | 
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		| Amount Disbursed ($) for Start-up (MED) | 
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		| Amount Disbursed ($) for Stabilization/Expansion (MED) | 
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		| Amount Disbursed ($) for CBL | 
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		| Write-Off Rate (%) | 
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		| Avg. Change in Credit Score (+/-) | 
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		| Funds Leveraged | 
	
		| Amount Leveraged for Operations ($) | 
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		| Amount Leveraged for Loan Fund ($) | 
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		| Jobs | 
	
		| Number of Jobs Created | 
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		| Number of Jobs Retained | 
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		| Program Level Impact (To be measured once at the end of the program) | 
	
		| Avg. Change in Net Income (+/-) | 
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		| Business Success Rate (%) | 
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		| THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13). | 
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		| Public reporting buden for this collection of information is estimated to average two hours per response, including the time for reviewing instructions, gathering | 
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		| and maintaining the data needed, and reviewing the collection of information. | 
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		| An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current valid OMB control number. | 
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