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MED Program Indicators

ICR 202611-0970-002 · OMB 0970-0490 · Object 174480100.

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Record metadata
application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
MED Program Indicators
Windows User
Calc
2026-03-11
2026-11-04
complete

Extracted Text

OMB #: 0970-0490
Expiration Date: XX/XX/XXXX

Recipient Name:
Grant Number:
Reporting Period:

Microenterprise Development Program Indicators
Semi-Annual Results
#

Category

Enrollment
1

Total Individuals Enrolled

1a Females Enrolled
1b Males Enrolled

Technical Assistance
2

Total Pre-loan T/TA Hours

2a Pre-Loan Training Hours
2b Pre-Loan TA Hours
3

Total Post-loan TA Hours

3a Post-Loan Training Hours
3b Post-Loan TA Hours

Loans
4

Total Number of Start-up Loans Disbursed (MED)

4a Number of Start-up Loans Disbursed (MED) from ORR Revolving Loan Fund (RLF)
4b Number of Start-up Loans Disbursed (MED) from Leveraged/Non-ORR RLF
5

Total Number of Stabilization/Expansion Loans Disbursed (MED)

5a Number of Stabilization/Expansion Loans Disbursed (MED) from ORR RLF
Number of Stabilization/Expansion Loans Disbursed (MED) from Leveraged/NonORR RLF

5b
6

Total Number of Credit Building Loans Disbursed (CBL)

6a Number of CBL Loans Disbursed (CBL) from ORR RLF
6b Number of CBL Loans Disbursed (CBL) from Leveraged/Non-ORR RLF
7

Total Amount Disbursed ($) for Start-up (MED)

7a Amount Disbursed ($) for Start-up (MED) from ORR RLF
7b Amount Disbursed ($) for Start-up (MED) from Leveraged/Non-ORR RLF
8

Total Amount Disbursed ($) for Stabilization/Expansion (MED)

8a Amount Disbursed ($) for Stabilization/Expansion (MED) from ORR RLF
Amount Disbursed ($) for Stabilization/Expansion (MED) from Leveraged/Non-ORR
RLF

8b
9

Total Amount Disbursed ($) for CBL

9a Amount Disbursed ($) for CBL from ORR RLF
9b Amount Disbursed ($)for CBL from Leveraged/Non-ORR RLF
10 Total Loans Disbursed by Sex (%)
10a Loans Disbursed to Females (%)
10b Loan Disbursed to Males (%)

Historical Loan Loss Rate (%)

12 Average Change in Credit Score (+/-)

Funds Leveraged
13 Amount Leveraged for Operations ($)

Jobs
14 Number of Jobs Created

15 Number of Jobs Retained

Program Level Impact (To be measured once at the end of the program)
16 Avg. Change in Net Income (+/-)

Annual Goal

SA1

SA2

Annual Results
(SA1 + SA2)

Cumulative
Program Goal

Cumulative
Program Results

OMB #: 0970-0490
Expiration Date: XX/XX/XXXX
17 Business Success Rate (%)

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to evaluate MED grantee program performance. Public reporting burden for this collection of information is
estimated to average 2 hours per grantee, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a mandatory collection of information (Funding Opportunity
Announcement: HHS-2017-ACF-ORR-RG-1228). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays
a currently valid OMB control number. The OMB # for this collection is 0970-0490 and the current expiration date is 3/31/2026. If you have any comments on this collection of information, please contact the Microenterprise Development
Program Officer.