[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-253157-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-253157-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","supportive-services-quarterly-report-template-accomplishment-and-household-data","Supportive Services Quarterly Report Template - Accomplishment and Household Data","","Quarterly Supportive Services accomplishment report template for tracking program performance by quarter and funding year. Includes fields for reporting period, contact and signatures, submission timing, county-only review sections, and instructions certifying accuracy. Provides structured tables for reporting unduplicated first-time client accomplishments, new and total households served, qualifying population income types, household status, and optional race, ethnicity, and age distributions. 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Repeat participants can be counted once at the start of their participation. To count someone as a beneficiary, document program eligibility and keep it on file.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How should household data be reported for income and household status?",{"text":68,"@type":64},"Use Table 2 to categorize the qualifying population type by income level for the current quarter and program year, and use Table 3 to select the household status categories for the same reporting periods.",{"name":70,"@type":61,"acceptedAnswer":71},"What narrative questions must be answered in the additional information section?",{"text":72,"@type":64},"Describe obstacles and steps taken to address them, efforts to ensure equitable access, whether participants left without completed service delivery (and why), and any extra information to help the county assess program/project performance.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},253157,1790459867,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":121,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":26},1374391974468,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Quarterly Report – Supportive Services  \nAccomplishment Report for Month/Year:    \nPhone:  Email:    \nSignature:    \nI certify to the best of my knowledge and belief that the information provided herein is true,  \ncomplete, and accurate.  \nQuarterly Report Due Dates  \n\n|  | Reporting Period | Report Due |\n| --- | --- | --- |\n| 1st Quarter |  |  |\n| 2nd Quarter |  |  |\n| 3rd Quarter |  |  |\n| 4th Quarter |  |  |\n\nCompleted reports should be submitted via email [to tadayt@kalcounty.com](to tadayt@kalcounty.com).  \nCounty Use Only  \nDate Received:   Date Reviewed:   \nComments:  \nApproved:   Date Approved:    \n1. Accomplishments:  \nPlease only report on unduplicated first-time clients. If they are repeat participants, you can only count them once at the beginning of their participation. To count a client as a beneficiary, you must document their eligibility for the program, which is to be kept on file. If a household has more than one member, please report only the beneficiary data of one [adult] household member  \nCurrent Contract Year Award   \n% of Contract Year Funds Spent To-Date   \nTable 1: Primary Accomplishments  \n\n| New Households Served this Quarter | Total Households Served This Funding Year |\n| --- | --- |\n|  |  |\n\n2. Household Data:  \nTable 2: Qualifying Population Type (income of entire household)  \n\n| Qualifying Population Type | Current Quarter | Program Year |\n| --- | --- | --- |\n| Extremely Low Income\u003Cbr>(30% AMI or Below) |  |  |\n| Low Income (30-50% AMI) |  |  |\n| Moderate income (50-80% AMI) |  |  |\n| Middle Income (80-120% AMI) |  |  |\n\nTable 3: Household Status  \n\n| Household Status | Current Quarter | Program to Date |\n| --- | --- | --- |\n| Single Adult No Children |  |  |\n| Two Adults No Children |  |  |\n| Multiple Adults No Children |  |  |\n| Single Adult w/ at Least One Child |  |  |\n| Two Adults with w/ at Least One Child |  |  |\n| Multiple Adults w/ at Least One Child |  |  |\n\nRace is a person’s self-identification with one or more social groups based on societal factors, physical appearance, and cultural backgrounds. Ethnicity determines whether a person is of Hispanic origin or not. Ethnicity is therefore divided into two mutually exclusive categories: Hispanic or Latino and Not Hispanic or Latino. Hispanic origin may be viewed as the heritage, nationality, lineage, or country of birth of the person (or the person’s parents/ancestors) before arriving in the United States. Race and ethnicity are independent of each other. Both Hispanics and Non-Hispanics may report as any race or combination of races.  \nTable 4: Household Race (if available)  \n\n| Racial Categories | Current Quarter | Program Year |\n| --- | --- | --- |\n| American Indian or Alaskan Native |  |  |\n| Asian |  |  |\n| Black or African American |  |  |\n| Native Hawaiian or Other Pacific Islander |  |  |\n| White |  |  |\n| Two or More Races |  |  |\n| Other |  |  |\n| Prefer not to say |  |  |\n\n\n| Ethnicity | Current Quarter | Program Year |\n| --- | --- | --- |\n| Hispanic or Latino |  |  |\n| Not Hispanic or Latino |  |  |\n| Both |  |  |\n\nTable 5: Household Ethnicity (if available)  \n\n| Prefer Not to Say |  |  |\n| --- | --- | --- |\n\n\n| \u003Cbr>Age\u003Cbr>18-24 | \u003Cbr>Current Quarter | \u003Cbr>Program Year |\n| --- | --- | --- |\n| 25-34 |  |  |\n| 35-44 |  |  |\n| 45-54 |  |  |\n| 55-64 |  |  |\n| 65-74 |  |  |\n| 75-84 |  |  |\n| 85+ |  |  |\n| Prefer Not to Say |  |  |\n\nTable 6: Age (Head of Household only) (If available)  \n\n| Municipality/ Neighborhood | Current Quarter | Program Year |\n| --- | --- | --- |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\nTable 7: Municipality/Neighborhood 4 (If applicable)  \n3. Additional Information:  \nPlease provide narrative response to the following questions:  \n1. Describe any obstacles or challenges in conducting your program. What steps have you taken address these challenges?  \n2. Please describe efforts you made to ensure equitable access to services.  \n3. Have any participants left t","cbCaisJlWOxw3iu0","https://ap.wps.com/l/cbCaisJlWOxw3iu0","pdf",291937,"English","# Quarterly Report – Supportive Services\n## Reporting Information and Certification\n## Quarterly Report Due Dates\n## Accomplishments and Client Counting Rules\n## Household Data\n### Qualifying Population Type (Income)\n### Household Status\n### Household Race (if available)\n### Household Ethnicity (if available)\n### Age (Head of Household only, if available)\n### Municipality/Neighborhood (if applicable)\n## Additional Information (Narrative Questions)","[{\"question\":\"What are the rules for counting clients in the quarterly accomplishments section?\",\"answer\":\"Report only unduplicated first-time clients. Repeat participants can be counted once at the start of their participation. To count someone as a beneficiary, document program eligibility and keep it on file.\"},{\"question\":\"How should household data be reported for income and household status?\",\"answer\":\"Use Table 2 to categorize the qualifying population type by income level for the current quarter and program year, and use Table 3 to select the household status categories for the same reporting periods.\"},{\"question\":\"What narrative questions must be answered in the additional information section?\",\"answer\":\"Describe obstacles and steps taken to address them, efforts to ensure equitable access, whether participants left without completed service delivery (and why), and any extra information to help the county assess program/project performance.\"}]","Supportive Services Quarterly Report Template - Accomplishment and Household Data | PDF",1789264471]