RAPP Indicators

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RAPP Indicators
GRANTEE NAME:
GRANT NUMBER:

Program Activities

Reporting Period
Budget Period
First Reporting
Period

Second Reporting Cumulative Fiscal
Period
Year

Number of participants enrolled:
Number of male participants enrolled,
excluding minor dependents
Number of female participants enrolled,
excluding minor dependents
Acres of land provided for RAPP activities:
Number of training hours provided in
nutrition and/or food safety for personal
consumption:
Number of training hours provided in
farming production techniques (e.g.,
agricultural produce selection, proper
irrigation, harvesting, extending growing
seasons, etc.)
Amount of produce cultivated (lbs.):
Gross sales of produce sold by all
participants ($):
Number of participants and family
members accessing healthy and nutritious
foods through farming:
Number of activities aimed towards
increasing psychosocial development of
refugees:
Number of types of services received by
the participants, not provided by RAPP
grantee:

Personal and Psychosocial Development Assessment

At Enrollment

End-of-Year
Assessment

Number of Individuals Asessed:
Using the scoring scale below, provide a mean assessment score of all clients enrolled in RAPP.
1 - Not At All - Client cannot complete activites in this area without assistance from the grantee.

2 - Sometimes - Clients can complete some activities on their own, but still require assistance from the grantee for related
tasks.
3 - Most Of The Time - Clients are able to complete most tasks in this area on their own, but may request occasional
assistance from the grantee.
4 - All The Time - Clients are able to complete all activities in this area without any assistance from the grantee.

At Enrollment

End-of-Year
Assessment

Client has access to healthy food:
Client understands what a healthy diet is:
Clients are engaged in physically activity:
Client has sufficient income to cover needs
(e.g., housing, food, transportation, etc.)
Client is engaged in the community:
Client knows how to find answers for
questions about nutrition and health:
Client knows how to find answers for
questions about gardening/farming (e.g.,
leasing land, zoning laws, pesticides,
organic production, etc.):
Client can navigate relevant systems (e.g.,
local governments, business development
process, accessing benefits, etc.) without
grantee intervention:

Logic Model Outputs Progress

Please list all planned Outputs from the
Logic Model in the following spaces. Add
more spaces as necessary.

Semi-Annual Results
Months 1-6

Months 7-12

Identify progress towards each Output for Identify progress towards each Outpu
Months 1-6
for Months 7-12.

Logic Model Outcomes Progress

Please list all planned Outcomes from the
Logic Model in the following spaces. Add
more spaces as necessary.

Semi-Annual Results
Months 1-6

Months 7-12

Identify progress towards each Outcomes
for Months 1-6

Identify progress towards each
Outcomes for Months 7-12.

OMB Control Number: 0970-0490; Expiration date: 3/31/2026

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection,
grant program to understand the design and effectiveness of the program and to inform technical assistance needs. Public rep
collection of information is estimated to average 2.3 hours per grantee, including the time for reviewing instructions, gatherin
needed, and reviewing the collection of information. This collection of information is required to retain a benefit (Pub. L. 105-2
amended). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subj
the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB number for this requ
any comments on this collection of information, please contact Yimeem Vu at [email protected]

P.
e.

Cumulative Project
Period

om the grantee for related

ay request occasional

om the grantee.

ts
Months 7-12

Cumulative
Fiscal Year

Cumulative
Project
Period

Describe
Describe
progress
progress
y progress towards each Output
towards
towards
for Months 7-12.
Outputs for the Outputs for
current fiscal the project
year.
period.

ts
Months 7-12

entify progress towards each
Outcomes for Months 7-12.

Cumulative
Project
Period
Describe
Describe
progress
progress
towards each towards each
Outcome for Outcome for
the current
the project
fiscal year.
period.
Cumulative
Fiscal Year

gh this information collection, ACF is gathering data on your
cal assistance needs. Public reporting burden for this
eviewing instructions, gathering and maintaining the data
o retain a benefit (Pub. L. 105-285, section 680(b) as
a collection of information subject to the requirements of
The OMB number for this request is 0970-0490. If you have
hhs.gov