State, Local, Tribal Non-Competitive

Uniform Grant Application for Non-Entitlement Discretionary Grants (COMPETITIVE; NON-COMPETITIVE and State Plans)

HMI Subgrant Semi-Annual Progress Report Example form for A61 June 23-2022

State, Local, Tribal Non-Competitive

OMB: 0584-0512

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OMB Control No.: 0584-0512

Expiration Date: xx/xx/xxxx


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OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, no persons are 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 0584-0512. The estimated average time required to complete this information collection is 45 hours per response, including 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: U.S. Department of Agriculture, Food and Nutrition Services, Office of Policy Support, ATTN: PRA (0584-xxxx*). Do not return the completed form to this address. Floor, Alexandria, VA 22314th1320 Braddock Place, 5th Floor, Alexandria, VA 22314 ATTN: PRA (0584-0512).  Do not return the completed form to this address.


Healthy Meals Incentives

Semi-Annual Progress Report

This form should be completed on a semi-annual basis and returned to (cooperator) no later than 30 days after the reporting period. Provide information on activities that took place during the reporting period.


Recipient Organization Information

Provide the requested information below about the recipient organization.


Name of School Food Authority: ______________________________________________

Address: _____________________________________________________________________

City: ________________________________________________________________________

State: ________________________________________________________________________

ZIP: _________________________________________________________________________


Primary Point of Contact

Provide the requested information below about the primary point of contact for the grant project.


First Name: ___________________________________________________________________

Last Name: ___________________________________________________________________

Title: ________________________________________________________________________

Email: _______________________________________________________________________

Phone: _______________________________________________________________________


Date Report Submitted

Provide the date the report was submitted below.


Date: ________________________________________________________________________


Progress Summary

Provide a summary of progress for this reporting period. In the first column, include a description of the activity that took place this reporting period. In the second column, describe the purpose of the activity. In the third column, mark the status of the activity.


A61


Activity and Description

Activity Purpose

Activity Status



[ ] Not yet started

[ ] Delayed

[ ] In progress

[ ] Complete


+Add additional activities [User will be able to add rows for additional activities as needed]


Grant Challenges

Provide a summary of challenges faced during this reporting period and how they were overcome: ____________________________________________________________________


Success Stories

Highlight your greatest achievements for this reporting period. __________________________


Timeline and Budget

Are you on time and budget with your grant activities?

[ ] Yes [ ] No

If so, check type: [ ] Budget [ ] Timeline [ ] N/A

Please describe: ________________________________________________________________


Upcoming Activities or Anticipated Changes

Describe activities planned for the next reporting period: ________________________________


Do you anticipate any changes in timeline, activities, or cost?

[ ] Yes [ ] No

If yes, please describe: ___________________________________________________________


Healthy Meals Incentive Award Program

Have you applied to receive a Healthy Meals Incentive Award?

[ ] Yes [ ] No

If yes, list the award(s) for which you have applied: ____________________________________

When did you apply for the award(s): _______________________________________________


Have you received a Healthy Meals Incentive Award?

[ ] Yes [ ] No

If yes, list the award(s) received: ___________________________________________________


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorChang, Jeewon - FNS
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File Created2024-08-03

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