Reporting Information

NOTE: Some Sample Report Templates are updated quarterly -- be sure to check your program for the latest information.

HHS Recipient Reporting Readiness Tool The HHS Recovery Act Recipient Reporting Readiness Tool provides grant-specific information to assist grantees in the preparation of their report to OMB at FederalReporting.gov. The award data that this tool provides can be cut and pasted directly into the Recipient Report. However, this tool does not provide all of the data required for the Recipient Report. In addition to the data that should be used in the Recipient Report, any field containing “Provided by Recipient” is currently not tracked by HHS. To find your award information, go to the Recipient Reporting Readiness Tool.

See our Recipient Reporting FAQs

Sample Reports (In Order by HHS Agency)

Or you may look for Sample Reports by Topic.

Vital Information for recipient reporting can be found in the instructions and sample report templates for each program which are listed here in alphabetical order by HHS agency.

Administration for Children and Families (ACF)

• Child Care and Development Fund (CCDF) Sample Report Template (Excel)
• Strengthening Communities Fund State, Local, Tribal Government Capacity Building Program Sample Report Template (Excel)
• Strengthening Communities Fund Nonprofit Capacity Building Program Sample Report Template (Excel)
• Head Start Sample Report Template (Excel)
• Community Services Block Grant (CSBG) Sample Report Template (Excel)

Administration on Aging (AoA)

• Aging Congregate Nutrition Services Instructions and Sample Report Template (Excel)
• Aging Home-Delivered Nutrition Services Instructions and Sample Report Template (Excel)
• Chronic Disease Self-Management Program Instructions and Sample Report Template (Excel)

Agency for Healthcare Research & Quality (AHRQ)

• Comparative Effectiveness Research Sample Report Template (Excel)

Centers for Disease Control and Prevention (CDC)

• Communities Putting Prevention to Work (CPPW) – Communities Grants: Instructions and Sample Report Template (Excel)
• Communities Putting Prevention to Work (CPPW) – States and Territories Grants: Instructions and Sample Report Template (Excel)
• Prevention Resource Centers Grants: Instructions and Sample Report Template (Excel)
• Healthcare Associated Infections (HAI): Ambulatory Surgical Center Instructions and Sample Report Template (Excel) (in partnership with the Centers for Medicare and Medicaid)
• Healthcare-Associated Infections (HAI) Grants: Instructions and Sample Report Template (Excel)
• Section 317 Grants: Instructions and Sample Report Template (Excel)
• Section 317 Immunization Program Contractor Sample Report Template (Excel)
• Health Information Technology (HITECH) Grants: Instructions and Sample Report Template (Excel)

Health Resources and Services Administration (HRSA)

• Capital Improvement Program (CIP) Sample Report Template (Excel)
• Centers for Excellence (COE) Sample Template (Excel)
• Dental Public Health Sample Report Template (Excel)
• Equipment to Enhance Training of Health Professionals Sample Report Template (Excel)
• Health Careers Opportunity Program (HCOP) Sample Template (Excel)
• Health Center Controlled Network/HIT Sample Template (Excel)
• Increased Demand for Services (IDS) Sample Report Template (Excel)
• Licensure Portability Special Initiative Sample Report Template (Excel)
• New Access Points (NAP) Sample Report Template (Excel)
• Nurse Faculty Loan Repayment Program (NFLR) Sample Template (Excel)
• Nursing Workforce Diversity Program (NWD) Sample Template (Excel)
• Preventive Medicine Sample Report Template (Excel)
• Public Health Traineeships (PHT) Sample Template (Excel)
• Scholarships for Disadvantaged Students Sample Report Template (Excel)
• Training in Primary Care Medicine and Dentistry Sample Report Template (Excel)
• Supplementary Instructions for all Health Center Programs

National Institutes of Health (NIH)

• Scientific Research Sample Report Template (Excel)

• Summer Research Experience Supplement Sample Report Template (Excel)

• Find other sample report templates at:  http://grants.nih.gov/recovery/sample_quarterly_reports.html

Office of the Secretary (OS)/Office of the National Coordinator for Health Information Technology (ONC)

State Health Information Exchange (HIE) Program: Instructions and Sample Report Template (Excel)
Regional Extension Center (REC) Program: Instructions and Sample Report Template (Excel)

Note: Persons using assistive technology may not be able to fully access information in the Excel files. For assistance, contact the Office of Recovery Act Coordination, 202-205-5100.

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