Interim Performance Report Template

Seafood Processors Pandemic Response and Safety Block Grant Program (SPRS)

Interim Performance Report Template_April 2021

Standardized Forms All AMS Grant Programs

OMB: 0581-0329

Document [docx]
Download: docx | pdf

OMB No. 0581-NEW


Interim Performance Report

An Interim Performance Report must be received within 90 days after the end of the first year of the date of the signed grant agreement and 90 days after the end of each subsequent year until the expiration date of the grant period. Interim Performance Reports must illustrate the progress made toward the completion of each project within the grant agreement.

Grant Information

Agreement


AMS Agreement Number:

Enter Agreement Number (e.g., 17FSMIPXX####).

Project Title

Enter Project Title as Stated on the Grant Agreement.

Period of Performance:

Start Date:

Enter Date.

End Date:

Enter Date.

Award Amount:

Enter AMS Funding Amount ($).

Match Amount (if applicable):

Enter Non-Federal Matching Amount ($).

Recipient


Recipient Organization Name:

Enter Recipient Organization Name.


Recipient’s Project Contact


Name:

Enter the Project Contact’s Name.

Phone:

Enter the Project Contact’s Phone Number.

Email:

Enter the Project Contact’s Email.

Report


Interim Report Type:

Enter the Type of Interim Report (e.g., 1st Interim, 2nd Interim).

Reporting Period:

Start Date:

Enter Date.

End Date:

Enter Date.

Performance Narrative

Activities Performed

Address the below sections as they relate to this reporting period.

Accomplishments

List your accomplishments for this reporting period and indicate how these accomplishments assist in the fulfillment of your project’s objective(s), outcome(s), and/or indicator(s). This listing should identify your project’s partners and their contributions.

#

Accomplishment

Relevance to Objective, Outcome, and/or Indicator

1



2



3



4



Challenges and Developments

Provide any challenges to the completion of your project or any positive developments outside of the project’s original intent that you experienced during this reporting period. If those challenges or developments resulted or will result in corrective actions and/or changes to the project, include those in the space below.

#

Challenges or Developments

Corrective Action and/or Project Change(s)

1



2



3



4



Outcome and Indicator Results to Date

Quantify the overall progress on the outcomes and indictors of your project.

#

Outcome/Indicator

Quantifiable Results

1



2



3



4



Discussion of Results

If necessary, include further explanation of the quantifiable results to date.


Upcoming Activities

Provide a description of the activities that you are planning to complete during the next reporting period.

#

Activity

Anticipated Completion

1



2



3



4



Project Expenditures to Date

Expenditures


Cost Category

Federal Funds Budget

(FEDERAL PORTION ONLY)

Matching Budget

(IF APPLICABLE)

Approved

Actual

Approved

Actual

Personnel





Fringe Benefits





Travel





Equipment





Supplies





Contractual





Other








Direct Costs Sub-Total





Indirect Costs








Total





Program Income (if applicable)


Source/Nature

(i.e., registration fees)

Amount Approved in Budget

Actual Amount Earned













Total Program Income Earned




Use of Program Income

Describe how the earned program income was used to further the objectives of this project.






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 0581-NEW. The time required to complete this information collection is estimated to average 4 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.


USDA is an equal opportunity provider, employer, and lender.



Page | 9

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMiklozek, John - AMS
File Modified0000-00-00
File Created2021-09-01

© 2024 OMB.report | Privacy Policy