OMB Approval Number: 0920-XXXX NPCR Registry Name: _________________________
Expiration Date: XX/XX/XXXX
NPCR Annual Evaluation Report Template
Note: Page number maximum is 2 pages. Please use the blank space next to sections 1-3 to document your evaluation progress.
Section 1: Evaluation Overview
Provide 1-2 sentences on the evaluation purpose and context.
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Section 2: Describing the Evaluation (1 paragraph)
Explain your progress on addressing the evaluation questions. Summarize the evaluation design and where you are in the timeline of data collection and analysis.
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Section 3: Major Findings, Achievements and Areas for Improvement (2 paragraphs)
This should be the focus of your summary report. Briefly summarize key findings from your evaluation in the past year. If this is your progress report for Year 2, 3, 4 or 5, discuss how findings are similar or different from previous results. Include minor and major achievements to date. Lastly, discuss any areas for improvement in program implementation based on findings.
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Public reporting burden of this collection of information is estimated to average 12 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. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74 Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Huster, Sofia (CDC/DDNID/NCCDPHP/DCPC) |
File Modified | 0000-00-00 |
File Created | 2024-07-22 |