ACF Performance Progress Report Form – Fill Out and Use This PDF

Item

Data Elements

Instructions

1.

Awarding Federal Agency

and Organizational Element

Enter the name of the awarding Federal agency and organizational element

to Which Report is

identified in the award document or otherwise instructed by the agency. The

Submitted

organizational element is the sub-agency within an awarding Federal agency.

2.

Federal Grant or Other

Identifying Number

Enter the grant/award number contained in the award document.

Assigned by the awarding

Federal agency

3a.

DUNS Number

Enter the recipient organization’s Data Universal Numbering System (DUNS)

number or System for Award Management (SAM) extended DUNS Number.

3b.

EIN

Enter the recipient organization’s Employer Identification Number (EIN)

provided by the Internal Revenue Services.

4.

Recipient Organization

Enter the name of recipient organization and address, including zip code.

5.

Recipient Account Number

Enter the account number or any other identifying number assigned by the

or Account Number

recipient to the award. This number is strictly for the recipient’s use only and is

not required by the awarding Federal agency.

6.

Project/Grant Period

Indicate the project/grant period established in the award document during which

Federal sponsorship begins and ends. Note: Some agencies award multi-year

grants for a project/grant period (e.g., 5 years) that are funded in increment

known as budget periods or funding periods. These are typically annual

increments. Please enter the project/grant period, not the budget period or

funding period.

7.

Reporting Period End Date

Enter the ending date of the reporting period. For quarterly, semi-annual, and

annual reports, the following calendar quarter period end dates shall be used:

3/31; 6/30; 9/30; and 12/31. 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.

8.

Final Report

Mark appropriate box. Check “yes” only if this is the final report for the

project/grant period specified in Box 6.

9.

Report or Frequency

Select the appropriate term corresponding to the requirements contained in the

award document. “Other” may be used when more frequent reporting is required

for high-risk grantees, as specified in OMB Circular A-110.

10.

Performance Narrative

Leave blank and complete Form ACF-OGM SF PPR Attachment B

Item

Data Elements

Instructions

Awarding Federal agency and

Enter the name of the awarding Fede ral agency and organizational element

1

Organizational Element to Which

identified in the award document or otherwise instructed by the agency. The

Report is Submitted

organizational element is a sub -agency within an awarding Federal agency.

Federal Grant or Other Identifying

2

Number Assigned by the awarding

Enter the grant/award number contained in the award document.

Federal agency

3a

DUNS Number

Enter the recipient organization's Data Universal Numbering System

(DUNS) number or Central Contract Registry extended DUNS number.

3b

EIN

Enter the recipient organization's Employer Identification Number (EIN)

provided by the Internal Revenue Service.

Enter the ending date of the reporting period. For quarterly, semi -annual,

and annual reports, the following calendar quar ter reporting period end

4

Reporting Period End Date

dates shall be used: 3/31; 6/30; 9/30 and or 12/31. 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.

Program Indicators

Major activities and accomplishments

Recommend use of project task charts from approved grant application

B-01(4)

and/or project work plan with this section. Describe any draft/final products

during this period

in this section. Use additional pages if needed.

Describe any deviations or departures from the original project plan

including actual/anticipated slippage in task completion dates, and special

B-02(4)

Problems

problems encountered or expected. Use this report section to adv ise

Project Officer and Grants Management Specialist of assistance needs. Use

additional pages if needed.

(To be noted by project officer, or reported to regions, States, other

B-03(4)

Significant findings and events

agencies, Program Director/Commissione r, Assistant Secretary, Secretary,

etc.) Use additional pages if needed.

Briefly describe project related inquiries and information dissemination

activities carried out over the reporting period. Itemize and include a cop y of

B-04(4)

Dissemination activities

any newspaper, newsletter, magazine articles or other published materials

considered relevant to project activities, or used for project information or

public relations purposes. Use additional pages if needed.

B-05(4)

Other Activities

Briefly describe. Use additional pages if needed.

B-06(4)

Activities planned for next reporting

Briefly describe. Use additional pages if needed.

period