Chronic Disease Risk Reduction

Mid and Final – Year Reporting Requirements


All applicants must complete mid-year and final reports. Forms for this purpose are provided by KDHE and include the “CDRR Activity Evaluation” form, the “Grant Reporting Form” and the “Affidavit of Expenditure.” The Activity Evaluation was partially completed as part of the CDRR application. For each approved CDRR activity, the Activity Evaluation form should be updated and turned in along with the Grant Reporting form and Affidavit of expenditure at mid and end of year.  All applicants with the exception of planning grantees need to complete one success story per approved program area per year: one for tobacco prevention, one for physical activity and nutrition. Earned media opportunities are to be reported via an online survey at (


These forms are located in the Reporting Guidelines or online at and should be used for reporting program progress. Reporting forms may change during the grant period, in which case grantees will be notified. Additionally, the grantee will be required to participate in two formal site visits taking place in the first and third quarters of the fiscal year. Revisions to the first grant application, if required, are due before receipt of the second disbursement of grant funds.


The Mid-year report and Affidavit of Expenditures for the period of July 1, through December 31, 2014 will be due no later than January 15, 2015.


The Final Report and Affidavit of Expenditures for the period of July 1 – June 30, 2015 will be due no later than July 15, 2015. When submitting your Final Report, send one copy to your Outreach Coordinator and a second copy to:


Kevin Shaughnessy
Kansas Department of Health and Environment
Purchasing and Grants Management Office
1000 SW Jackson, Suite 570
Topeka, KS 66612-1368


Forms Required:

Affidavit of Expenditures


CDRR Grant Reporting Form

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CDRR Activity Evaluation – Update original form submitted at time of application (one per approved activity)


CDRR Success Story Template – (annually, does not apply to planning grantees)

Earned Media – online survey at (