Category A Recipient-Led Annual Evaluation Report

Form Approved

OMB No. 0920-xxxx

Exp. Date XX/XX/20XX

[Insert NOFO] Category A Recipient-Led Annual Evaluation Report

Each year [Insert NOFO] Category A recipients are required to submit an evaluation report that describes findings from the previous year’s evaluation of their [two or three] selected strategies across each of the core areas outlined in the Evaluation and Performance Measurement Plan Guidance. Developing the annual evaluation report provides recipients the opportunity to reflect on their program implementation, facilitators and barriers, as well as their evaluation design and methodologies. The sections below provide examples of the specific information that should be included in the Category A Recipient-Led Annual Evaluation Report.

The annual evaluation report will require up to 8 hours to complete.

Note: Public reporting burden of this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-19BHC)

Section 1: Evaluation Report Overview should include the following information for each strategy selected to evaluate:

• Strategies to Evaluate: Please check the strategies from your work plan you have selected to evaluate.

• Evaluation Purpose: State the purpose of the overall evaluation and describe how the findings are expected to be used to inform programmatic decisions.

• Evaluation Approach and Context: Describe the general approach you will use to evaluate the selected strategies. Provide information on relevant contextual factors for your program, such as how the program is situated in your state and how it connects to other programs or initiatives. Consider that this document may be viewed separately from your work plan; therefore, provide enough detail for CDC to understand the program and evaluation context.

• Evaluation Stakeholders and Primary Intended Users of the Evaluation: Describe individuals or groups who have a stake in the evaluation and who will use the evaluation results. Include a brief description of how you have engaged (or plan to engage) these evaluation stakeholders.

Section 2: Evaluation Data Collection Matrix will be used to summarize the results of the indicators used to monitor progress towards answering the evaluation questions. Repeat the table for each of the strategies selected for evaluation. For each strategy evaluated, please include:

• Evaluation Questions: What you wanted to know?

• Indicator(s): A specific, observable, and measurable characteristic or change that shows progress toward achieving a specified objective or outcome.

• Count/Percent: State the actual cumulative amount or percent achieved as of the end of the reporting period.

• Data Source(s): Where did you collect the data (i.e., program records, surveys, etc.)? List a source for each indictor.

• Data Collection Method: How did you collect the data (i.e., abstraction from spreadsheet, database, etc.)?

• Data Analysis: What type of analysis did you apply to the data (e.g. descriptive statistics, thematic analysis, etc.)?

• Status of Data Collection: Please provide the status of data collection (complete, in progress, not started).

• Status Details: Please provide a brief update on the status of data collection.

Section 3: Strategy Specific Summary of Evaluation Findings will be used to summarize the evaluation findings from the last period of performance for each strategy selected to evaluate. Repeat the table for each of the strategies selected for evaluation. For each strategy, please include:

• Barriers and Facilitators: Provide a description of the barriers and facilitators encountered in implementing the selected strategy (e.g. Access to data, capacity, resources, partnerships/ stakeholder engagement). How were the barriers encountered overcome?

• Findings and Conclusion: Provide a description of the findings based on evidence generated by the evaluation data collection and analysis methods. Conclusions should be drawn directly from findings and help summarize the “so what “of the findings. Several findings can lead to one or more conclusions. Recipients may include appendices with easy to read charts, tables, graphs, and maps to demonstrate evidence that supports conclusions and recommendations.

• Communication/Dissemination: Describe your broad plans for communicating/sharing your findings and provide examples of products that you will develop. Describe how your evaluation reports will be published on a publicly available website.

• Use of Evaluation Findings: Describe how your evaluation findings will be used to ensure continuous quality and any programmatic changes that will be made to the implementation of the selected strategy because of the current year’s evaluation findings.

Recipient: Click or tap here to enter the recipient’s organization name

Report Due Date: Enter date (MM/DD/YY) report is due

Last Date Updated: Enter Date (MM/DD/YY) the report was last updated

Table 1. Evaluation Report Overview

Instructions: Please refer to your evaluation plan and complete the section below. Update this section to reflect any changes made during the implementation of the evaluation.

Evaluation Overview
Strategies to Evaluate:	Please check the strategies from your work plan you have selected to evaluate. A1 A2 A3 A4 A5 A6 A7 A8
Evaluation Purpose:	State the purpose of the overall evaluation and describe how the findings are expected to be used to inform programmatic decisions.
Evaluation Approach and Context:	Describe the general approach you will use to evaluate the selected strategies. Provide information on relevant contextual factors for your program, such as how the program is situated in your state and how it connects to other programs or initiatives. Consider that this document may be viewed separately from your work plan; therefore, provide enough detail for CDC to understand the program and evaluation context.
Evaluation Stakeholders and Primary Intended Users of the Evaluation:	Describe individuals or groups who have a stake in the evaluation and who will use the evaluation results. Include a brief description of how you have engaged (or plan to engage) these evaluation stakeholders.

Table 2. Evaluation Data Collection Matrix

Instructions: Please use the section below to provide an update on the evaluation of the strategies you have selected to evaluate. Repeat the table for each of the strategies selected for evaluation.

[Insert Strategy #]:	[Insert Strategy Name]
Evaluation Questions (EQ)	Indicator(s)	Count/ Percent	Data Source(s)	Data Collection Method	Data Analysis	Status of Data Collection	Status Details
What you wanted to know?	A specific, observable, and measurable characteristic or change that shows progress toward achieving a specified objective or outcome.	State the actual cumulative amount or percent achieved as of the end of the reporting period.	Where did you collect the data (i.e., program records, surveys, etc.)? List a source for each indictor. .	How did you collect the data (i.e., abstraction from spreadsheet, database, etc.)?	What type of analysis did you apply to the data (e.g. descriptive statistics, thematic analysis, etc.)? .	Please provide the status of data collection (complete, in progress, not started).	Please provide a brief update on the status of data collection.
[Insert NOFO-specific Evaluation Core Area: Approach, Effectiveness, Efficiency, Sustainability, Impact]
EQ 1:
EQ 2:
[Insert NOFO-specific Evaluation Core Area: Approach, Effectiveness, Efficiency, Sustainability, Impact]:
EQ 1:
EQ 2:
[Insert Evaluation Core Area: Approach, Effectiveness, Efficiency, Sustainability, Impact]:
EQ 1:
EQ 2:
[Insert Evaluation Core Area: Approach, Effectiveness, Efficiency, Sustainability, Impact]:
EQ 1:
EQ 2:
Insert Evaluation Core Area: Approach, Effectiveness, Efficiency, Sustainability, Impact
EQ 1:
EQ 2:

Table 3. Strategy Specific Summary of Evaluation Findings

Instructions: Use the section below to summarize the evaluation findings from the last period of performance for each strategy selected to evaluate. For each strategy you have selected to evaluate, insert an additional table to report findings. Note: This evaluation report is designed to provide a high-level summary of implementation of the evaluation plan and early findings. Recipients may include appendices with supplemental evaluation findings and data collection tools.

[Insert Strategy #]:	[Insert Strategy Name]
Finding	Description
Barriers and Facilitators	Provide a description of the barriers and facilitators encountered in implementing the selected strategy (e.g. Access to data, capacity, resources, partnerships/ stakeholder engagement). How were the barriers encountered overcome?
Findings and Conclusions	Provide a description of the findings based on evidence generated by the evaluation data collection and analysis methods. Conclusions should be drawn directly from findings and help summarize the “so what “of the findings. Several findings can lead to one or more conclusions. Recipients may include appendices with easy to read charts, tables, graphs, and maps to demonstrate evidence that supports conclusions and recommendations.
Communication/Dissemination	Describe your broad plans for communicating/sharing your findings and provide examples of products (e.g. evaluation briefs, infographics) that you will develop. Describe how your evaluation reports will be published on a publicly available website.
Use of Evaluation Findings	Describe how your evaluation findings will be used to ensure continuous quality and any programmatic changes that will be made to the implementation of the selected strategy because of the current year’s evaluation findings.