General Performance Reporting Forms

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Overview

0.Introduction
1. Project Overview
2. Acts + Outputs + Outcomes
3. Successes + Challenges
4. Financial Reporting
5. Reflections

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Sheet 1: 0.Introduction

FINAL PERFORMANCE REPORT FORM

August 6, 2024

OMB CONTROL NUMBER = 2090-NEW, Expiration Date = mm/dd/yyyy

OMB Burden Statement:

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. OMB Control Number: 2090-NEW. Responses to this collection of information are mandatory [2 CFR Part 200]. 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. The public reporting and recordkeeping burden for this collection of information is estimated to be 40 hours per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division; U.S. Environmental Protection Agency (2821T); 1200 Pennsylvania Ave., NW; Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

Instructions for Grantees:

* This Final Performance Report Form asks grantees to report a high-level summary of key activities, outputs, outcomes, and associated locations/communities across the entire project.

* The aim is to prompt reflection on general themes across the entire projects, not to report on individual activities during specific project reporting periods.

* If you have any specific activities, outcomes, or line item expenditures to report for the final reporting period, please put this information in the Interim Performance Progress Report Form.

* This form requests performance information across four sheets: (1) Project Overview, (2) Acts + Outputs + Outcomes (3) Successes + Challenges, (4) Financial Reporting, and (5) Reflections.

* The final sheet (5. Reflections) provides an opportunity to report any additional reflections or information to EPA.

* Please refer to the supplemental instructions document for guidance on how to complete each section.

* Please speak to your EPA Project Officer to confirm that you understand all the reporting expectations for your program.

* If you have any questions about how to complete this form, please contact your EPA Project Officer.

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Sheet 2: 1. Project Overview

SECTION 1: PROJECT OVERVIEW
Project Information
Instructions: Please complete the information below. You can copy the information from Sheet 1 of your completed Interim Performance Report.
Project Lead Name
Project Title
EPA Grant #
EPA Program (e.g., FIFRA)
EPA Project Officer
Project Start Date
Project End Date
Final Performance Report Submission Date

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Sheet 3: 2. Acts + Outputs + Outcomes

SECTION 2: ACTS + OUTPUTS + OUTCOMES
Instructions
Use this section to list your project objectives (one per row) and provide a high-level summary of the associated project activities, outputs, and outcomes that contributed to fulfilling each objective.
Instructions for completing each column are provided below.
If you have any questions or need further assistance, please review the supplemental instructions for this form, and then speak to your EPA Project Officer.
Part A - Project Objectives Linked to High-Level Summary of Project Activities, Outputs, and Outcomes
A. Project Objectives	B. High-Level Summary of Project Activities	C. High-Level Summary of Project Outputs	D. High-Level Summary of Project Outcomes
List the objectives of the project, adding each one to a new row. These should include objectives originally developed in the Work Plan, as well as any new objectives that were developed during the implementation of the project.	Provide a high-level summary of the completed project activities that contributed to fulfilling each objective. Include a summary of the locations, as appropriate. You can report the same completed activities for multiple project objectives, as needed. If the set of completed activities for each objective varied from the planned activities described in the Work Plan (either in design or implementation), please provide a high-level summary of the changes along with the reason(s) for these changes.	Provide a high-level summary of the products, services, or events that were produced or delivered as part of the activities that contributed to fulfilling each objective. Include a summary of the communities and/or groups who engaged with these outputs, as appropriate. If the set of delivered outputs for each objective varied from the expected outputs described in the Work Plan, please provide a high-level summary of the changes along with a brief explanation.	Provide a high-level summary of the measured or calculated project results that contributed to fulfilling each objective. Include a high-level summary of the communities and/or groups who were impacted by the results, as appropriate. If the set of measured or calculated results for each objective varied from the expected results described in the Work Plan, please provide a high-level summary of the changes along with a brief explanation.
Objective 1:
Objective 2:
Objective 3:
Objective 4:
Objective 5:
Objective 6:
Objective 7:
Objective 8:
Objective 9:
Objective 10:

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Sheet 4: 3. Successes + Challenges

SECTION 3: PROJECT SUCCESSES AND CHALLENGES
Instructions
Use this section to reflect on the challenges and successes you have experienced during the project, as well as lessons learned.
Instructions for completing each column are provided below.
If you have any questions or need further assistance, please review the supplemental instructions for this form, and then speak to your EPA Project Officer.
PART A - Successes and Challenges
1. Describe what has gone well across the implementation of different aspects of the project. What best practices and/or resources have helped to facilitate these successes?
2. Describe any challenges or difficulties that you experienced across multiple aspects of the project. How did you address and/or resolve these challenges?
1. Successes: 2. Challenges:
PART B - Results from Program Evaluations and/or Other Evidence-Building Activities
If you conducted any program evaluations or other evidence-building activities to assess the design, implementation, outcomes, or impact of the project, please provide a brief summary of this work.
Include the aims, questions, methods, and key results. Include a link to the full report if available.

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Sheet 5: 4. Financial Reporting

SECTION 4: FINANCIAL REPORTING - OPTIONAL: IF REQUESTED BY PROGRAM
Instructions
Use Part A to report your budget utilization for the entire project, including how funds were allocated and spent. Report each line item in a new row.
Use the existing set of line items (Column A) in the order that is presented. Add new rows at the bottom to report any additional line items.
Instructions for completing each column are provided below.
If you have any questions or need further assistance, please review the supplemental instructions for this form, and then speak to your EPA Project Officer.
Part A - Budget Utilization						Part B - Additional Information
A. Line Details	B. Total Approved Awarded Budget	C. Actual Expenses	D. Ending Balance	E. Program-Specific Information (Optional)		Use this section to include any additional information you wish to provide about your budget and finances.
PLEASE REPORT ON LINE ITEMS IN THE ORDER LISTED.	Specify the total amount budgeted (across the entire project) for each financial line item category.	Specify the total expenses (across the entire project) for each financial line item category.	Running balance for each financial line item category that reflect expenses to date. NO DATA ENTRY REQUIRED	Include additional information that is requested by the program.
Personnel			$0.00
Fringe Benefits			$0.00
Travel			$0.00
Equipment			$0.00
Supplies			$0.00
Contractual			$0.00
Construction			$0.00
Other			$0.00
Indirect Charges			$0.00

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Sheet 6: 5. Reflections

SECTION 5: PROJECT REFLECTIONS

Instructions

If you have any additional reflections that you would like to share with EPA, please include them in this section.