Performance Progress Report Sf-Ppr Page 4
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4Performance Progress Report
Item
Data Elements
Line Item Instructions for SF-PPR
Remarks, Certification, and Agency Use Only
12a
Typed or Printed Name
Authorized certifying official of the recipient.
and Title of Authorized
Certifying Representative
12b
Signature of Authorized
Original signature of the recipient's authorizing official.
Certifying Official
12c
Telephone (area code,
Enter authorized official's telephone number.
number and extension)
12d
Email Address
Enter authorized official's email address.
12e
Date Report Submitted
Enter date submitted to the awarding Federal agency. Note: Report must
(Month, Day, Year)
be received by the awarding Federal agency no later than 90 days after
the end of the reporting period.
13
Agency Use Only
This section is reserved for the awarding Federal agency use.
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid OMB control number. The valid OMB control
number for this information collection is 0970-0334. The time required to complete this information
collection is estimated to average twenty-six (26) minutes per response, including the time to review
instructions, search existing data resources, gather the data needed, and complete and review the
information collection. If you have suggestions about the accuracy of the estimate, we would be
happy to hear from you. You can e-mail us at
infocollection@acf.hhs.gov.
PPR, Page 4
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