DDDRP PPR

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THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)
Public reporting burden for this collection of information is estimated to average 4 hour per
response, including the time for reviewing instructions, gathering and maintaining the data
needed, and reviewing the collection of information.
OMB Approval Number: 0970-0490
Expiration Date: 03/31/26
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.

Instructions for Completing the Quarterly PPR
Cover Page tab
Please enter your response to each item in the "Response" column. The "Description" column provides information on w
you have additional notes to share, please enter them in the "Notes" column.
Program Indicators tab
Please review the "Instructions" column and enter your response for each item in the "Explanation" column.

Service Delivery Data tab
Please enter your response to each item in the "Response" column. If you have additional notes to share, please enter t

Wraparound Service Details
Please complete this table by first listing all the services types for which families received referrals during this reporting
providing the number of families that recevied each referal type in column B. In column C, please select the category tha
service type. The first two lines are examples and should be deleted before completions.

Definitions:
Employment services: include the provision of skills training and job readiness opportunities for youth and adults (includ
apprenticeships, and self-employment), the distribution of employment supplies (such as uniforms, work boots, and equ
at supporting employment retention and growth (such as referrals, employer interactions, and career pathways).
Education and development services for youth: include Early Head Start services for individuals aged 0-3, Head Start ser
childcare subsidies or payments, early childhood education for ages 0-5 outside of Head Start, K-12 support services (e.g
adult literacy classes, and college/post-secondary readiness support (e.g., applications, scholarships). Additionally, they
school supplies, participation in before and after-school activities, summer youth programs, life skills coaching.
Education and development services for adults: include adult literacy classes, English language instruction, basic educati
high school equivalency programs, and applied technology courses. These services also include life skills coaching, resou
education readiness (e.g., applications, scholarships, and textbooks), and evidence-based home visiting programs to sup
growth.
Income and asset building services: include training and counseling to support income management and asset growth, s
literacy, budgeting, homebuying, and foreclosure prevention, as well as business and entrepreneurial financial services l
development loans, and entrepreneurial support. Additionally, these services offer benefit coordination and advocacy fo
health insurance, SSI, Veterans benefits, TANF, and SNAP. Transportation services that facilitate access to income and ass
such as bus vouchers or passes to attend training, are also included.
Housing services: include rental payment assistance (e.g., emergency rental payments and deposits) and housing payme
payments or emergency mortgage payments. These services also provide eviction prevention through counseling, landlo
utility payment assistance. Housing placement and rapid re-housing services support individuals in securing temporary,
housing. Additionally, services include housing maintenance and improvements (e.g., structural repairs, accessibility upg
repairs) and weatherization services to enhance energy efficiency and safety in households.
Health services: include immunizations, health screenings (e.g., physicals and chronic health assessments), and develop
services also provide healthcare payment assistance for seniors (e.g., prescription and doctor visit payments) and health
Additionally, they cover maternal and child health services (e.g., breastfeeding support and postpartum care), reproducti
prevention), general wellness services (e.g., fitness, mindfulness, and medication management), home visits for older ad
centers, mental and behavioral health services (e.g., substance use counseling, mental health support, domestic violenc
services for both adults and children (e.g., screenings, exams, and procedures).
Nutrition services: include food and nutrition skills classes (e.g., cooking and healthy eating), the distribution of prepare
Wheels, congregate sites), and food distribution services (e.g., groceries and food share programs). These services also s
activities and provide emergency hygiene and clothing assistance, including hygiene kits and access to hygiene facilities
Transportation services: include public transportation vouchers or passes, gas cards, and non-medical transportation as
services offer medical transportation for healthcare-related needs and rideshare or taxi vouchers to ensure access to ess
services.

Parnters tab
For each partner that recieves funds to provide goods and services to the DDDRP program, please enter the requested i

Budget and Expenses tab
Please comple the table using the following definitions:
Grant Recipient Spending/Activities: Any direct spending or budgeted funds for the grant recipient (please do not includ
subrecipient organizations here; use columns H - L for contractual and sub-recipient spending).

services.

Parnters tab
For each partner that recieves funds to provide goods and services to the DDDRP program, please enter the requested i

Budget and Expenses tab
Please comple the table using the following definitions:
Grant Recipient Spending/Activities: Any direct spending or budgeted funds for the grant recipient (please do not includ
subrecipient organizations here; use columns H - L for contractual and sub-recipient spending).
Partner Spending/Activities (i.e., contractual or subrecipient spending/activities): Any direct spending or budgeted fund
(not included on the left)
Cells in the rows and columns marked as "Total" will automatically calculate.

provides information on what each item is requesting. If

ation" column.

es to share, please enter them in the "Notes" column.

rrals during this reporting quarter in column A, and then
ase select the category that most closely aligns with the

or youth and adults (including vocational training,
orms, work boots, and equipment), and services aimed
d career pathways).
ls aged 0-3, Head Start services for individuals aged 3-5,
, K-12 support services (e.g., English, literacy), young
rships). Additionally, they encompass the provision of
fe skills coaching.
e instruction, basic education (e.g., financial literacy),
e life skills coaching, resources for post-secondary
me visiting programs to support family stability and

ement and asset growth, such as credit repair, financial
eneurial financial services like micro-loans, business
ordination and advocacy for programs like child support,
e access to income and asset-building opportunities,

posits) and housing payment assistance for down
through counseling, landlord/tenant mediation, and
als in securing temporary, transitional, or permanent
al repairs, accessibility upgrades, emergency home

assessments), and developmental delay screenings. These
visit payments) and health insurance counseling.
ostpartum care), reproductive health services (e.g., STI
nt), home visits for older adults, participation in senior
support, domestic violence prevention), and dental

he distribution of prepared meals (e.g., Meals on
ams). These services also support community gardening
access to hygiene facilities (e.g., showers and laundry).
-medical transportation assistance. Additionally, these
hers to ensure access to essential appointments and

ease enter the requested information in each column.

pient (please do not include funds for partners or
).

ease enter the requested information in each column.

pient (please do not include funds for partners or
).
pending or budgeted funds for a partner or sub-recipient

Item
Number
C1
C2

Item
Federal Grant or Other Identifying Number Assigned by
the awarding Federal agency
Recipient Organization Name

C3

Recipient Organization Address Line 1

C4
C5
C6
C7

Recipient Organization Address Line 2
Recipient Organization City
Recipient Organization State
Recipient Organization Zip

C8

Project/Grant Period Start Date

C9

Project/Grant Period End Date

C10

Reporting Period End Date

C11

Final Report

C12

Diaper Distribution Start Date

C13

Program leadership or contact information changes

Description
Enter the grant/award number contained in the
award document in the format 90EDA####.
90EDA________
Enter the recipient organization's name.
Enter line 1 of the recipient organization's street
address.
Enter line 2 of the recipient organization's street
address.
Enter the recipient organization's city.
Enter the recipient organization's state.
Enter the recipient organization's zip code.
Indicate the start date for project/grant period
established in the award document during which
Federal sponsorship begins and ends. Please enter
the project/grant period, not the budget period or
funding period.
Indicate the end date for project/grant period
established in the award document during which
Federal sponsorship begins and ends. Please enter
the project/grant period, not the budget period or
funding period.
Enter the ending date of the reporting period. For
quarterly PPRs the following calendar quarter
period end dates shall be used for cohorts 1, 3, and
4: 3/31; 6/30; 9/30; and 12/31. For cohort 2, the
following calendar quarter period dates shall be
used: 1/31; 4/30; 7/31; and 10/31. 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.
Input “yes” only if this is the final report for the
project/grant period specified above [Enter yes or
no].
Enter the date your program started distributing
diapers, if applicable
Are there any changes to your program leadership
or contact information this quarter? [Enter yes or
no]

Response

Notes

Item Number Item

I1

I2

I3

I4

Instructions

Major activities and
accomplishments
during this period

Please describe your efforts in
establishing partnerships, expanding
distribution programs, providing training
and technical assistance (T/TA) to
partners, facilitating bulk purchasing and
efficient transportation, and actively
supporting the federal evaluator. It is
recommended to use project task charts
from the approved grant application
and/or project work plan for this
section. Additionally, describe any draft
or final products related to these efforts.

Problems

Describe any deviations or departures
from the original project plan including
actual/anticipated slippage in task
completion dates, and special problems
encountered or expected. Use this
report section to advise Project Officer
and Grants Management Specialist of
assistance needs.

Dissemination
activities

Briefly describe project-related inquiries
and information dissemination activities
carried out over the reporting period.
Itemize and include a copy of any
newspaper, newsletter, magazine
articles or other published materials
considered relevant to project activities
or used for project information or public
relations purposes.

Other activities

Briefly describe any other activities that
supported your Diaper Distribution Pilot
project that you have not described
elsewhere.

Activities planned
for next reporting
period

Briefly describe your planned activities
to support the Diaper Distribution Pilot
in the next reporting period.

I6

Leveraged
opportunities

Please provide a description of any new
opportunities for resources, funding,
partnerships, etc. that have come to
your organization because of the DDDRP
award.

I7

Please include one program success
story or highlight from this quarter. In
your success story, please include the
specific partner organizations that
contributed to the success, a description
of the impact of diapers on beneficiary
families (please do not include
Program success story personally identifying information), a
or highlight from this programmatic milestone, and/or
quarter
successful outreach strategies.

I5

Explanation

Item Number

S1
S2
S3
S4

Item
Families and Children Served
Please provide the total number of unique families you served this reporting
quarter.
Please provide the total number of unique children who have received diapers
through the program this reporting quarter.
Please provide the total number of unique families you served since the start
of your program.
Please provide the total number of unique children who have received diapers
through this program since the start of your program.
Please provide the total number of unique families that are newly enrolled this
reporting quarter.

S5

Newly enrolled – family is receiving diapers for the first time this quarter.
Please provide the total number of unique children that are newly enrolled to
receive diapers this reporting quarter.

S6

Newly enrolled – child is receiving diapers for the first time this quarter.
Diapers and Diapering Supplies
Enter the total number of diapers distributed during this reporting quarter.
Enter the total number of pull-ups distributed during this reporting quarter.

S7
S8
S9
S10
S11
S12
S13
S14
S15

S16

S17

S18

Please provide your average cost per diaper for the this reporting quarter.
Please provide your average cost per pull-up for this reporting quarter.
Enter the total number of packs of wipes distributed during this reporting
quarter.
Enter the total number of wipes distributed during this reporting quarter (# of
packs * # of wipes per pack = total number of wipes)
Enter the total number of containers of ointment distributed during this
reporting quarter.
Did you distribute other diapering products/supplies this quarter? If so, which
kinds and how many?
Briefly describe how you are taking advantage of economies of scale in your
diaper purchasing.
Wraparound Services
Describe your process for connecting enrolled beneficiary families with
wraparound supportive services. Please describe any changes that have
occurred in the last quarter to your process.
Enter the unduplicated number of families who you referred or connected to
other services during the last quarter. Please include families who received
referrals to services provided by diaper distribution pilot partner organizations
and/or other organizations.
Enter the unduplicated number of families who you referred or connected to
other services since the start of the grant program. Please include families
who received referrals to services provided by diaper distribution pilot partner
organizations and/or other organizations.

Response

Notes

Service type
Example: Food pantry
Example: Head Start

Number of referrals
made this quater
72
25

Category of Referral (select one:)
o Employment services
o Education and development services for youth
o Education and development services for adults
o Income and asset building services
o Housing services
o Health services
o Nutrition services
o Transportation services
o Other services (please specify in Notes column)
Notes
Nutrition services
Education and development services for youth

Partner Organization (only include
those who recieve DDDRP funds to
provide goods or services for the
DDDRP program)

Date Partnership Began for Date Partnership ended
DDDRP
for DDDRP (if applicable)

Does the partner procure diapers
for DDDRP? (Enter Yes or No)

Does the partner warehouse
Does the partner transport diapers
diapers for DDDRP? (Enter Yes or
for DDDRP? (Enter Yes or No)
No)

Does the partner enroll
Does the partner refer participants
Does the partner distribute diapers
participants in DDDRP? (Enter Yes
to wraparound supportive
to participants? (Enter Yes or No)
or No)
services? (Enter Yes or No)

What geographic service areas does the List the available types of wraparound service referrals
partner support for DDDRP?
families may receive from this partner.

If the partner provides translation assistance for service
applications or services, please list the languages offered.

Has the partner's leadership or contact information changed in any
Notes
way? (enter Yes/No)

Grant
Recipient
Federal
Allocation
Total

Grant
Recipient
Match
Allocation
Total

Grant
Recipient
Total
Allocation

Item

Item Description

B01
B02
B03
B04

Diapers (including pull-ups)
Diapering Supplies
Storage and Transportation
Personnel/Benefits

$0.00
$0.00
$0.00
$0.00

B05
B06
B07
B08

Staff Travel
Indirect Costs
Everything Else Not In Lines 5 - 10
Total

$0.00
$0.00
$0.00
$0.00

$0.00

$0.00

Grant
Grant
Recipient
Recipient
Federal Funds Match
Spending to Spending to
Date
Date

$0.00

$0.00

Grant
Recipient
Total
Spending to
Date

Partner
Federal
Allocation
Total

Partner
Match
Allocation
Total

Partner
Federal Funds
Partner Total Spending to
Allocation
Date

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

$0.00

$0.00

$0.00

Partner
Match
Spending to
Date

$0.00

TOTAL
Allocation
TOTAL
Partner Total (Total Federal Spending to
Spending to + Total
Date (with
Match)
Date
Match)
$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00

Notes