Tobacco Free Nebraska Grantee Reporting

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Tobacco Free Nebraska
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What you need to know

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Community of Excellence Grantees​

​​Helpful Documents and Links​

TFN Fiscal Reporting Form - Grantee Instructions

View instructions on how to fill out a fiscal reporting form (invoice).

Example of Completed Fiscal Reporting Form

Review an example of a filled-out fiscal reporting form (invoice).

Communities of Excellence in Tobacco Control - Media Plan Template

Use this template to develop a media plan for paid media of more than $5,000 annually outlined in the work plan and budget.

TRAIN Web-Based Reporting System

Program reporting is completed in TRAIN.

Community Planning Guide

A community planning guide for Communities of Excellence in Tobacco Control. Developed by the American Cancer Society.

Change in Personnel Form

Use this form to report any changes in staffing, including new hires, resignations and changes in duties.

Performance Measure Reporting Guidance

This document provides guidance on reporting performance measures for this grant.

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State Tobacco Control Plan Overview

View the one-page overview​​ of the 2023-2028 Nebraska State Tobacco Control Plan.

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2025-2027 Forms and Due Dates

Forms

Quarter
​Time Period
​What's Due

​​Due Date
​Year 1 - Quarter 1
July 1, 2025 - September 30, 2025
  • Fiscal Report
  • Subgrantee audit form and schedule (if applicable)​
October 31, 2025
​Year 1 - Quarter 2
​October 1, 2025 - December 31, 2025
  • ​​Fi​scal Report
  • Program Report (6-month)
  • Performance Measure Report (6-month)
​January 30, 2026
​Year 1 - Quarter 3
January 1, 2026 - March 31, 2026
  • ​Fiscal Report​​
​April 30, 2026
​Year 1 - Quarter 4
​April 1, 2026 - June 30, 2026
  • ​Fiscal Report
  • Program Report (6-month)
  • Success Stories
  • Performance Mea​​sure Report (6-month)
​July 31, 2026
​Year 2 - Quarter 1
​July 1, 2026 - September 30, 2026
  • ​​Fiscal Report
  • Subgrantee audit form and schedule (if applicable) ​
​October 31, 2026
​Year 2 - Quarter 2
​October 1, 2026 - December 31, 2026
  • ​​​Fiscal Report
  • Program Report (6-month)
  • Performance Measure Report (6-month)​
​January 31, 2027
​Year 2 - Quarter 3
​January 1, 2027 - March 31, 2027
  • ​​​Fiscal Report​
April 30, 2027
​​Year 2 - Quarter 4
​April 1, 2027 - June 30, 2027​
  • Fiscal Report
  • Program Report (6-month)
  • Success Stories
  • Performance Measure Report (6-month)​​
​July 31, 2027

2023-2025 Forms and Due Dates

​Forms


Quarter
Time Period
What's Due
Due Date
Year 1 - Quarter 1

July 1, 2023 - September 30, 2023
  • Fiscal Report
  • Subgrantee audit form and schedule (if applicable)
  • Media Plan (if applicable)
October 31, 2023
Year 1 - Quarter 2
October 1, 2023 - December 31, 2023
  • Fiscal Report
  • Program Report (6-month)

January 31, 2024
Year 1 - Quarter 3
January 1, 2024 - March 31, 2024
  • Fiscal Report
April 30, 2024
Year 1 - Quarter 4
April 1, 2024 - June 30, 2024
  • Fiscal Report
  • Program Report (6-month)
  • Success Stories
July 31, 2024
Year 2 - Quarter 1
July 1, 2024 - September 30, 2024
  • Fiscal Report
  • Subgrantee audit form and schedule (if applicable)
  • Media Plan (if applicable)
October 31, 2024
Year 2 - Quarter 2
October 1, 2024 - December 31, 2024
  • Fiscal Report
  • Program Report (6-month)
January 31, 2025
Year 2 - Quarter 3
January 1, 2025 - March 31, 2025
  • Fiscal Report
April 30, 2025
Year 2 - Quarter 4
April 1, 2025 - June 30, 2025
  • Fiscal Report
  • Program Report (6-month)
  • Success Stories
July 31, 2025
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2021-2023 Forms and Due Dates

Forms

  • 2021-2023 TFN Quarterly Fiscal Invoice Report (Word) (Excel)​

2021-2023 fiscal reports are due as follows:

  • 1st Quarter due on  4/30/22 for Jan-Feb-Mar 2022
  • 2nd Quarter due on 7/31/22 for Apr-May-Jun 2022
  • 3rd Quarter due on 10/31/22 for Jul-Aug-Sep 2022
  • 4th Quarter due on 1/31/23 for Oct-Nov-Dec 2022
  • 5th Quarter due on 4/30/23 for Jan-Feb-Mar 2023
  • 6th Quarter due on 7/31/23 for Apr-May-Jun 2023  

2021-2023 program reports are due as follows:

  • First report due on 7/31/22 for January 1, 2022 through June 30, 2022 activities.
  • Second report due on 1/31/23 for July 1, 2022 through December 31, 2022 activities.
  • Third report due on 7/31/23 for January 1, 2023 through June 30, 2023 activities.

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Tobacco Free Nebraska
Department of Health & Human Services
TFN Phone Number
(402) 471-2101
Quitline Toll-Free Number
1-800-784-8669 / 1-855-335-3569
TFN Fax Number
(402) 328-6287
Mailing Address
P.O. Box 95026, Lincoln, Nebraska 68509-5026