As a grantee, you are required to submit reports according to the schedule specified in your grant. Find your program's reporting forms and guidance documents below.
All Providers
| Grant Invoice Template and Submission Tool |
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| Grant Invoice Template - updated 7/7/22 |
| Grant Invoice Submission Tool - updated 1/03/22 |
| Guidance Documents | |
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| Agency of Administration |
Bulletin 5 - Policy for Grant Issuance and Monitoring Department of Children and Families - Vermont Position Paper on Permanence |
| Human Subjects | Institutional review Board |
| Tobacco | Tobacco - Resources, Trainings, Webinars, Policies, Toolkits |
| Guidance Document |
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| Reporting Instructions |
| Wording for Event Attendee Evaluations |
| Data Collection Tool |
| Reporting Forms |
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| Reporting Form |
| Grantee Quarterly Reporting and Evaluation Summary Form |
| Resources |
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| Logic Models Overview |
| Logic Model Templates |
Prevention
What are NOMs?
The National Outcome Measures are the federal Substance Abuse and Mental Health Services Administration's approach to performance measures. States are required to report on National Outcome Measures for both prevention and treatment programs as part of their block grant requirements. National Outcome Measures are broken down into sub-categories called “domains”. For Prevention National Outcome Measures, each state is only being asked to collect data in 3 of the 8 domains. The other five domains are being pre-populated by existing data sources.
What are the National Outcome Measures Domains?
- Domain 1: Reduced Morbidity – Abstinence from Drug or Alcohol Use
- Domain 2: Employment/Education
- Domain 3: Crime and Criminal justice
- Domain 4: Social Connectedness
- Domain 5: Access/Capacity*
- Domain 6: Retention
- Domain 7: Cost Effectiveness*
- Domain 8: Use of Evidence-based Practices and Strategies*
* Vermont is collecting data from prevention grantees to report on the three domains in bold.
What domains are the Division of Substance Use Programs (DSU) Prevention Grantees required to provide?
DSU grantees will need to provide detailed data for the "Access/Capacity" domain and budget data for the "Cost Effectiveness" domain. DSU will submit the information for the "Evidence-based Practice" domain based on grantee information from the original applications for funding.
How will grantees provide this information?
DSU grantees will collect the data throughout their grant period and submit it as part of their regular reporting activities for the grant. Special forms have been designed for grantees to use to report this data to DSU. Additional forms have been provided by DSU to assist grantees in collecting the data.
What data is collected for the Access/Capacity domain?
This domain captures information about the number of people served by race, ethnicity, age and gender:
- Individual-based programs and population-based programs: total number served by age, gender, race and ethnicity.
- Institute of Medicine category delineated for each grant-funded program. These are: universal-indirect, universal-direct, indicated and selected.
| Guidance Document |
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| NOMs Data Collection Form |
| Reporting Form |
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| NOMs SurveyGizmo |
| Reporting Forms |
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| Budget Form |
| Budget Narrative |
| Expense Form |
| Monthly Metric Report |
| Reporting Forms |
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| Budget and Budget Narrative Template (optional, DSU-created) |
| Evaluation Template |
| Logic Model Template |
| Workplan Template |
| Guidance Document |
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| Resource List |
| Reporting Portal (Alchemer) |
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| OD2A Grant Reporting |
| Guidance DocumentS |
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Implementation Workplan  |
| NOMs Data Collection Form - Small Group |
| Reporting Forms |
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| NOMs SurveyGizmo |
| Quarterly Report Form |
| 2020 Media Guidance |
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| 2020 Grantee Media Guidance |
| Reporting Forms |
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| Quarterly Report Form |
| Budget, Budget Narrative & Workplan |
| Reporting Forms |
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| RPP Quarterly Report FY22 |
| RPP Quarterly Report FY21 |
| RPP Budget Form FY22 |
| RPP Budget Narrative FY22 |
| RPP Workplan Template FY22 |
| RPP Workplan Guidance FY22 |
Regional Prevention Partnership County Profiles available on the Data & Reports page.
| 2020 Media Guidance |
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| 2020 Grantee Media Guidance |
| FY20 RPP Strategy Proposal Process |
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| RPP Strategy Proposal Process FY21 - UPDATE COMING SOON |
| RPP Strategy Proposal Form (Due no later than 12/31/2019) |
| RPP Strategy Proposal Questions & Resources List |
| RPP Submission Scoring Rubric |
| RPP Example Completed Submission |
Intervention
| Reporting Forms |
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| Quarterly Reporting Form-FY22 |
| Reporting Intructions and Forms - Fiscal year 2023 |
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| Rocking Horse Budget Narrative - FY 2023 |
| Rocking Horse Budget Form - FY 2023 |
| Reporting Intructions and Forms |
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| Reporting Instructions |
| Report Submission Survey |
| Implementation Checklist Form |
| Statistics Form |
| Participant Pre and Post Survey Form |
| Reporting Forms - Fiscal Year 2023 |
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| Budget Form - FY23 |
| Implementation Plan- FY23 |
| Budget Narrative - FY23 |
| Document Upload Forms - FY23 |
| Quarterly Reporting Form FY23 |
| Reporting Forms - Fiscal Year 2022 |
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| Quarterly Reporting Form FY22 |
| Up for Learning Reporting Form |
| Guidance Documents |
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| CRAFFT and GAIN SS Training Webinar |
Treatment
| Reporting Forms |
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| GPRA Tool |
| GPRA Report Submission |
| GPRA Records Management |
| Guidance Documents |
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| GPRA Simplified |
| GPRA One Pager |
| GPRA Data Collection Training |
| GPRA Instruction Guide |
| Reporting Forms |
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| Quarterly Reporting Form - FY23 |
| Quarterly Reporting Form - FY22 |
Information for opioid treatment programs, sometimes known as “hubs.”
| Guidance Documents |
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| Drug Toxicology Screening Protocol |
| Transfer Protocol |
| Reporting Forms |
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| Rapid Treatment Tracking Tool for Hospital EDs |
| Rapid Treatment Tracking Tool for Providers |
| Rapid Treatment Tracking - Monthly Submission Form |
Recovery
| Guidance Documents |
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| Standards for Recovery Services |
| GPRA Data Collection Training |
| GPRA FAQ Guidance Document |
| Reporting Forms |
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| Recovery Housing FY2022 |