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1 Progress Report Overview

In August 2023, during National Health Center Week, the Health Resources and Services Administration (HRSA) awarded approximately $30 million to 151 HRSA-funded health centers to improve developmental outcomes among children ages 0-5 through increased screenings and follow-up services.

2 Accessing the Progress Report

1. Login to HRSA Electronic Handbooks (EHBs). 

Screenshot of Pending Tasks List page

2. From the EHBs home page, click the Tasks tab to view the Pending Tasks - List page.

3. The ECD Progress Report task will show 'Progress Report' in the 'Task' column and will show your ECD grant number in the 'Entity' column.

4. Select the Start or Edit link in the 'Options' column, to begin your progress report. 

3 Completing the Progress Report

1. On the Progress Report - Status Overview page, you will see the applicable forms to complete the ECD Progress Report. The report consists of two forms:

  • Contact Information
  • FY23 ECD Progress Report

Screenshot of progress report status overview page

2. Select the Update link in the 'Options' column next to the Contact Information Form.

3.1 Completing the Contact Information Form

1. Enter the contact information for the point of contact for your ECD progress report. 

Screenshot of Contact information page

2. Click the Save and Continue button to proceed to the FY23 ECD Progress Report Form.

3.2 Completing the FY23 ECD Form

  1. Complete each focus area activity on the FY23 ECD Progress Report Form.

Note: Each Form Status must be complete before submitting your report

Screenshot of semi annual off cycle report

Screenshot of Semi annual report FY23 SBSE

Activity Status Update: Focus Area, Activity, and Activity Selection Rationale are pre-populated from FY2024 Early Childhood Development Non-Competing Progress Report. The Activity Progress from your last Non-competing Continuation Progress Report is also provided for reference. For each activity, select the current status as “Not yet started”, “Partially implemented’, “Fully implemented”, or “Will not implement.” Provide an update for each activity conducted during the reporting period 3/1/2024 to 8/31/2024. In the Successes/Promising Practices narrative box, discuss what has worked well or any positive outcomes resulting from the project to date as well as any best or promising practices. For Lessons Learned, describe any knowledge gained from the process of conducting or implementing the project to date. This includes the positive and negative experiences.

  • Select the current activity progress and provide a detailed narrative update
  • Select Save and Continue after making your selection and providing your update.


Note: Any unexpected regression from your previous report will trigger a warning to edit status selection or provide an explanation in the Activity Progress Update or Lessons Learned textboxes. Provide details if you have been unable to make progress or have experienced a negative trend.

Question 1.1: Missing Activities

Use this space only to provide progress on activities you are currently working on that were excluded from the pre-populated list of activities (i.e., recent activity changes via prior approval, activities on approved work plan did not pre-populate, etc.). 

Note: New activities cannot be added through the semi-annual progress report.

Screenshot of question 1.1 missing activities

Question 2: Project Status

  • The selection will be auto populated based on your activity progress in question 1.
  • If your project is fully implemented, make an appropriate selection regarding funding expenditures.
  • If you will not draw down all awarded funds, select all that apply from the reasons for the unspent funds.
  • If you select “other,” provide an explanation in the textbox.

Screenshot of question 2 project status

Activities and Budget Consistent with Approved Work Plan:

  • You will use this part of the form to document activity, budget, and/or equipment changes from the original approved work plan.
  • If you selected Yes to an activity, budget or equipment change, you must describe the activity change, and
  • This Semi-Annual Progress Report may not be used to request changes in the approved work plan.

Screenshot of activities and budget consistent with approved work plan

Barriers: You will use this part of the form to document any barriers or issues encountered in implementing approved ECD activities during the 6-month period of performance from 3/1/2024 to 8/31/2024.   

  • If yes is selected, you must identify one or more issues or barriers.  
  • If the issue or barrier it not listed, select ‘Other’ and explain (300 characters including spaces), and
  • Identify any steps taken to mitigate the issues or barriers (up to 500 characters including spaces). 

Screenshot of Barrier Reports Selection

Point-in Time Impact Self-Assessment : You will use this part of the form to provide an assessment of the overall project.  

  • Indicate the degree to which Early Childhood Development supported activities to date are achieving the funding objectives or project requirements as stated in the Notice of Funding Opportunity.
  • Optionally, provide any comments about the Impact Self-Assessment.

Screenshot of point in time impact self assessment

Training and Technical Assistance Resource Utilization:

  • For the 3/1/2024 to 8/31/2024, select applicable responses below regarding your use of training and technical assistance (T/TA) resources related to the FY23 Early Childhood Development.
  • Optionally, indicate in the space provided if you are interested in receiving additional information about available TA resources.


Screenshot of training and technical assistance resource utilization


2. Review activities and ensure that each one is complete. Select Save and Continue button to proceed. continue to the Review page.

4 Submitting the Progress Report

1. On the Review page, review your progress report forms to ensure that all information entered is accurate. Access each form by clicking on the View link in the 'Options' column. Select the Continue button to proceed to the Submit Report page.

Screenshot of Review info request response

2. On the Submit Report page, select the Submit button to submit your progress report to HRSA.

Screenshot of Submit report confirm screen

5 Responding to Change Requests for the Progress Report

1. After submitting the ECD Progress Report, HRSA may determine that additional information or corrections are needed to what was originally submitted. 

  • In this case, an EHB email notification with more details regarding the requested changes will be sent to you.
2. If you receive a change request notification, your progress report will be accessible to you in your pending tasks queue. Follow the steps found in section 2. Accessing the Progress Report to revisit and update the information in your progress report consistent with changes requested the EHBs email notification.
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