Administrative Form

Administrative Progress Report
NOAA Restoration Center, Office of Habitat Conservation
1.Federal Agency to Which Report is Submitted 2. Federal Award Number

3. Federal Program Officer - Name

NOAA National Marine Fisheries Service
4. Recipient Organization and Address

5. Award Start Date

7. Report Start Date

6. Award End Date

8. Report End Date

9. Award Name

11. Main Project Contact - Title and Organization 14. Is this the final
report?

10. Main Project Contact - Name

Yes
No

12. Main Project Contact - E-mail

13. Main Project Contact - Phone Number

15. Report Frequency
annual
semi-annual
quarterly
other

16. Other Attachments (see instructions)

Certification: I certify to the best of my knowledge and belief that this report is correct and complete for performance of activities for
the purposes set forth in the award documents.
17. Authorized Representative - Name and Title

18. Authorized Representative - Email

19. Authorized Representative - Phone

The information collected in this form will be used to administer and evaluate coastal and marine habitat restoration projects. Public reporting burden for this collection of information is
estimated to average 6 hours per initial report, 2.75 hours per response for semi-annual reports and 5.5 hours for final reports, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other suggestions for reducing this burden to Program Manager, NOAA Community-based Restoration Program, 1315 East West Hwy, F/HC3, Silver Spring, MD 20910.
No confidentiality is provided because no proprietary or confidential information is requested.
Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected to a penalty for failure to comply with, a collection of
information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a valid OMB Control Number.
Privacy Act Statement
Authorities: Fish and Wildlife Coordination Act, 16 U.S.C. 661, as amended by the Reorganization Plan No. 4 of 1970, the Magnuson-Stevens Reauthorization Act of 2006 (Title 1, Sec. 117),
the Estuaries and Clean Waters Act of 2000 (Title I, Public Law 106-457), amendments to the Water Resources Development Act of 2007, and other authorities.
Purpose: This collection is used to track, evaluate and report on coastal and marine habitat restoration funding administered by the National Oceanic and Atmospheric Administration
(NOAA) Restoration Center.
Routine Uses: Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C.Section 552a) to be shared among Department staff for work-related purposes. Disclosure
of this information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notices DEPT-2, Accounts Receivable and GSA/GOVT-9, System for
Award Management.
Disclosure: This information is required of all grant recipients. If the required information is not provided, NOAA's ability to determine the grant program's progress will be impeded.

OMB Control No. 0648-0472Expiration Date: 10/31/18

Project Name

Award or Sub-Award Number

20. Performance Narrative (see instructions):

Administrative Progress Report
NOAA Restoration Center

OMB Control No. 0648-0472
Expiration Date: 10/31/2018

2.
Project Title

Administrative Progress Report
NOAA Restoration Center

1.
Subrecipient

A. Subaward or Project List

Project Name

3.
Project Status

4.
NEPA Status

5.
NOAA Funding
Amount

6.
Anticipated End
Date

OMB Control No. 0648-0472
Expiration Date: 10/31/2018

7.
Modifications to the Sub-Award

Award or Sub-Award Number

2. Year 1 NOAA
Approved Funds

3. Year 2 NOAA
Approved Funds

Administrative Progress Report
NOAA Restoration Center

8. Budget Deviations Description (see instructions)

TOTALS

Indirect

Other

Contractual

Supplies

Equipment

Travel

Fringe Benefits

Personnel

1. Object Class
Expenditures

B. NOAA Award Funding

Project Name

4. Year 3 NOAA
Approved Funds

5. Total NOAA
Approved Funds

6. Total NOAA
Funding Expended

Funding
Duration

Lock
Table

OMB Control No. 0648-0472
Expiration Date: 10/31/2018

7. Notes

3 years

Award or Sub-Award Number

2. Year 1 Match
Funds Approved

3. Year 2 Match
Funds Approved

Administrative Progress Report
NOAA Restoration Center

8. Budget Deviations Description (see instructions)

TOTALS

Indirect

Other

Contractual

Supplies

Equipment

Travel

Fringe Benefits

Personnel

1. Object Class
Expenditures

4. Year 3 Match
Funds Approved

5. Total Approved
Match Funds

C. Non-federal Recipient Share (Match Funds)

Project Name

6. Total Expended
Match Funds

3 years

Lock
Table

OMB Control No. 0648-0472
Expiration Date: 10/31/2018

7. Non-federal Recipient Share (Match Funds)
Sources

Funding
Duration

Award or Sub-Award Number