PPMR Instrument - Attachment D

PERFORMANCE PROGRESS and MONITORING REPORT

Table of Activity Results

							Page		of Pages
1.Federal Agency and Organization Element to Which Report is Submitted			2. Federal Grant or Other Identifying Number Assigned by Federal Agency		3a. DUNS				4. Reporting Period End Date (Month, Day, Year)
					3b. EIN
D. Table of Activities and Results
(1) Activity Number or Label	(2) Activity Description	(3.1) Result Label:		(3.2) Result Label:		(3.3) Result Label:		(3.4) Result Label:		(3.5) Result Label:
D-01
D-02
D-03

OMB Approval Number: 0920-XXXX

Expiration Date: XX/XX/XXXX

Line Item Instructions for Attachment D, Table of Activity Results

Item	Data Elements	Instructions
1	Awarding Federal agency and Organizational Element to Which Report is Submitted	Enter the name of the awarding Federal agency and organizational element identified in the award document or otherwise instructed by the agency. The organizational element is a sub-agency within an awarding Federal agency.
2	Federal Grant or Other Identifying Number Assigned by the awarding Federal agency	Enter the grant/award number contained in the award document.
3a	DUNS Number	Enter the recipient organization's Data Universal Numbering System (DUNS) number or Central Contract Registry extended DUNS number.
3b	EIN	Enter the recipient organization's Employer Identification Number (EIN) provided by the Internal Revenue Service.
4	Reporting Period End Date	Enter the ending date of the reporting period. For quarterly, semi- annual, and annual reports, the following calendar quarter reporting period end dates shall be used: 3/31; 6/30; 9/30 and or 12/31. For final PPRs, the reporting period end date shall be the end date of the project/grant period. The frequency of required reporting is usually established in the award document.
Report of Activities and Results
D.(1)	Activity Number or Label
D.(2)	Activity Description
D.(3.1)	Result
D.(3.2)	Result
D.(3.3)	Result
D.(3.4)	Result
D.(3.5)	Result