Form not available not available FINAL Progress Report

OMB Control Number 1024-XXXX
Expiration Date XX/XX/XXXX

2024 Lower Mississippi Delta Initiative Final Progress Report

General Information

Contact Information
Name of Organization *

Name and Title of Authorized Certifying Official *

Email Address *

Phone Number *

Street Address *

City *

State *
Select one...
Zip Code *

Acknowledgment
By submitting this report, I certify to the best of knowledge and belief that the report
is true, complete, and accurate, and the expenditures, disbursements, and cash
receipts are for the purposes and objectives set forth in the terms and conditions of
the Federal award. I am aware that any false, fictitious, or fraudulent information, or
the omission of any material fact, may subject me to criminal, civil, or administrative
penalties for fraud, false statements, false claims, or otherwise. (U.S. Code Title 18,
Section 1001 and Title 31, Sections 3729-3730 and 3801-3812).
If you fully agree with the acknowledgment statement above, type your full name:*

Project Information
Name of Project *

Total Grant Funds Approved *
.

Project Results

$

Financials
Click here to download the Final Progress Report spreadsheet.
Please upload a completed copy of the Final Progress Report spreadsheet accounting for funds expensed in
completion of the project. *
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Total Project Costs Incurred (see Final Progress Report spreadsheet) *
.

$

Were the Total Project Costs Incurred less than the Total Grant Funds Approved? *
No
Yes
Amount of Surplus Funds to be Returned by Organization (see Final Progress Report spreadsheet)
.

$

Please enter the date you anticipate returning surplus award funds. Check should be made payable to
Jefferson National Parks Association and mailed to:
Jefferson National Parks Association
Attn: LMDI
One Memorial Drive, Suite 1900
St. Louis, MO 63102
If you have any questions regarding returning surplus funds, please email [email protected].

Clear

Outcome of Project
Please describe the results of your project. *

Date Project was Started *

Clear

Date Project was Completed *

Clear

Please describe any future plans for this project. How will it affect your institution going forward? *

Please upload at least one article, photo, or video demonstrating the completion of your project. *
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Please upload any additional images, articles, or videos pertaining to your project. If the file size is too large
to attach, please email it to [email protected]
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Optional Attachment 3
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Optional Attachment 4
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Feedback

Feedback on Grant Administration Process
Please provide any feedback on how we can improve the administration process for the Lower Mississippi
Delta Intiative.

NOTICES
PAPERWORK REDUCTION ACT STATEMENT
We collect this information under the authority of Public Law (PL) 103-433 - Lower Mississippi Delta Initiative (LMDI). We
use this information to initiate projects to preserve the region’s cultural and natural resources and to increase tourism. Your
response is required to obtain or retain a benefit. We may not collect or sponsor and you are not required to respond to a
collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of
information and assigned Control No. 1024-0XXX.
ESTIMATED BURDEN STATEMENT
We estimate that it will take you 2 hours to complete this form, including time to review instructions, gather and maintain data,
and complete and review the form. You may send comments on the burden estimate or any aspect of this form to the
Information Collection Clearance Officer, National Park Service, 13461 Sunrise Valley Drive, (MS-244) Herndon, VA 20171.
Please do not send your completed form to this address.