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					         First 5 Merced Guide to Data Collection Forms


Name of                 Type of Data             Collected           Submitted
Form
                                                                     Quarterly—
Direct Services         Unduplicated—local       Quarterly
                                                                     Persimmony System*
Form                    and state
                                                                     Quarterly—
Provider Capacity       Unduplicated—local       Quarterly
                                                                     Persimmony System*
Form                    and state
                                                                     Annually and submit to
Evaluation              Qualitative/Narrative—   Through out the
                                                                     First 5 staff at the end
Summary Report          local                    Fiscal Year
                                                                     of the project
Initiative Specific
                      State requirements         As needed           Annually
Data
* All providers will be expected to use the Persimmony system for their own data entry.




First 5 Merced Guide to Evaluation Forms
September 2007—Modified July 30, 2009

				
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posted:9/16/2012
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