OMB Clearance #1122-0010 OMB Clearance # 1121-0280 Expiration Date: 06/30/2011 Expiration Date: 07/31/2004 U - muskie usm maine-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section A, where you will provide general information. Fill in the date of the report, current reporting period, grantee name, and grant number. Ensure all fields are completed accurately.
3. Proceed to Section B, which requires you to check all program activities your coalition engaged in during the reporting period. Be thorough in indicating whether these activities were funded by the State Coalitions Program.
4. In Section C, answer questions related to training and technical assistance provided. Specify the type of training events conducted and the number of people trained.
5. Complete Section D by summarizing your goals and objectives for the grant. Report on their status—whether they are completed, in progress, or delayed—and provide comments on successes and challenges faced.

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