REPORTING: Funded Projects Pilot; Developing Standardized Forms

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Overview

Coversheet
All_Tracks
M-HF
M-AF
M-FD
M-WGS
M-CC
C-HF
C-FD
C-AF
R-FD
SP-SC
SP-IT
SP-MDV
SP-CoV2
Budget

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Sheet 1: Coversheet

Recipent Name (Select)

Select

State

Select Recipient Name

Federal Award Identification Number

Select Recipient Name

Report Frequency

Mid-Year Report

Annual Report

Date Completed

Project Period Start Date

Project End Date

Budget Period Start Date

Budget Period End Date

Principal Investigator (PI)

PI Email

PI Phone

Tracks

Column1

Report

OPEI

Awardee Name

Track

Other Coversheet Responses

M - Food Defense

#N/A

Select

All LFFM Tracks

M - Human Food

#N/A

Select

All LFFM Tracks

M - Animal Food

#N/A

Select

All LFFM Tracks

M - WGS

#N/A

Select

All LFFM Tracks

M - Capability/Capacity

#N/A

Select

All LFFM Tracks

C - Food Defense

#N/A

Select

All LFFM Tracks

C - Human Food

#N/A

Select

All LFFM Tracks

C - Animal Food

#N/A

Select

All LFFM Tracks

R - Food Defense

#N/A

Select

All LFFM Tracks

SP - IT

#N/A

Select

All LFFM Tracks

SP - MD/V

#N/A

Select

All LFFM Tracks

SP - Sample Collection

#N/A

Select

All LFFM Tracks

SP - SARS-CoV-2 in Wastewater

#N/A

Select

All LFFM Tracks

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Sheet 2: All_Tracks

	Grant Track:	ALL LFFM Tracks
	Activity from Previous Budget Period (Mid-Year & Annual)
	Did you have MDV, CC, or IT work that was funded in a prior budget period that you are completing in this budget period and wish to report highlights/fulfillment of requirements from the prior budget period ?
	Track	Budget Period funded	Work remaining in order to successfully complete Track requirements		Accomplishments completed this budget period
1
2
3
4
5
6
7
8
9
10
	Note: Information reported for the following sections should be specific to this budget period.
	20.88 Agreement (Mid-Year & Annual)
	Do you maintain a valid 20.88 agreement with FDA?
	If yes, when does your agreement expire?
	If no, please explain why:
	FERN Membership (Mid-Year & Annual)
	Is your lab currently a FERN member?
	If no, list the date of planned application to FERN:
	ISO Accreditation (Complete for Annual report only)
	Current ISO 17025 accreditation status of your laboratory:
	Will your laboratory be accredited to ISO/IEC 17025:2017?
	Note: Attach scope of accreditation to your submission email.
	Changes to Accreditation since last reporting:
	If not Accredited to ISO 17025, please explain how you maintain a Quality System that ensures quality assurance and quality control of laboratory testing. This may include describing other accreditations your laboratory has, if relevant to LFFM activities.
	ORA DX (Mid-Year & Annual)
	Have you successfully submitted data to FDA this budget period via the ORA DX (any workflow)?
	Workflow	Number of Samples Submitted	Type of Sampling	Comments
1
2
3
4
5
6
7
8
9
10
	Facilities (Mid-Year & Annual)
	Do you have facilities needed to operate under this CAP?	No, the lab does not have all facilities needed.
	Have you maintained these facilities needed to operate under this CAP?
	Positions/Hiring (Mid-Year & Annual)
	Are all needed positions filled?
	If no, how and when will you fill the vacant positions?
	Instrumentation (Annual)
	Have you obtained or replaced instrumentation/equipment in order to operate under this Cooperative Agreement in this Budget Period?
	If yes, please fill in the requested information below:
	Description of Item (e.g. analysis used for)	Common Name (e.g. ICP, GCMS, MiSeq, etc.)	Make/Model	New/Replaced	Status	Total Number of Operational Instruments used for CAPs	List Tracks this Instrumentation Supported	OPEI	Awardee Name	Track	InstrumentationOtherResponse
1								#N/A	Select	ALL LFFM Tracks
2								#N/A	Select	ALL LFFM Tracks
3								#N/A	Select	ALL LFFM Tracks
4								#N/A	Select	ALL LFFM Tracks
5								#N/A	Select	ALL LFFM Tracks
6								#N/A	Select	ALL LFFM Tracks
7								#N/A	Select	ALL LFFM Tracks
8								#N/A	Select	ALL LFFM Tracks
9								#N/A	Select	ALL LFFM Tracks
10								#N/A	Select	ALL LFFM Tracks
	Training Received (Mid-Year & Annual)
	Training Title	Training Provider	Number of People Trained	Tracks this Training Supported	OPEI	Awardee Name	Track	TrainingOtherResponse
1					#N/A	Select	ALL LFFM Tracks
2					#N/A	Select	ALL LFFM Tracks
3					#N/A	Select	ALL LFFM Tracks
4					#N/A	Select	ALL LFFM Tracks
5					#N/A	Select	ALL LFFM Tracks
6					#N/A	Select	ALL LFFM Tracks
7					#N/A	Select	ALL LFFM Tracks
8					#N/A	Select	ALL LFFM Tracks
9					#N/A	Select	ALL LFFM Tracks
10					#N/A	Select	ALL LFFM Tracks
11					#N/A	Select	ALL LFFM Tracks
12					#N/A	Select	ALL LFFM Tracks
13					#N/A	Select	ALL LFFM Tracks
14					#N/A	Select	ALL LFFM Tracks
15					#N/A	Select	ALL LFFM Tracks
16					#N/A	Select	ALL LFFM Tracks
17					#N/A	Select	ALL LFFM Tracks
18					#N/A	Select	ALL LFFM Tracks
19					#N/A	Select	ALL LFFM Tracks
20					#N/A	Select	ALL LFFM Tracks
	Meetings (Mid-Year & Annual)
	List all professional meetings/conferences where attendance supported work related to one or more Tracks below:
	Meeting Name	Meeting Start Date (M/D/YYYY)	Meeting End Date (M/D/YYYY)	Meeting Format	How Many People Attended	Tracks this Meeting Supported	OPEI	Awardee Name	Track
1							#N/A	Select	ALL LFFM Tracks
2							#N/A	Select	ALL LFFM Tracks
3							#N/A	Select	ALL LFFM Tracks
4							#N/A	Select	ALL LFFM Tracks
5							#N/A	Select	ALL LFFM Tracks
6							#N/A	Select	ALL LFFM Tracks
7							#N/A	Select	ALL LFFM Tracks
8							#N/A	Select	ALL LFFM Tracks
9							#N/A	Select	ALL LFFM Tracks
10							#N/A	Select	ALL LFFM Tracks
11							#N/A	Select	ALL LFFM Tracks
12							#N/A	Select	ALL LFFM Tracks
13							#N/A	Select	ALL LFFM Tracks
14							#N/A	Select	ALL LFFM Tracks
15							#N/A	Select	ALL LFFM Tracks
16							#N/A	Select	ALL LFFM Tracks
17							#N/A	Select	ALL LFFM Tracks
18							#N/A	Select	ALL LFFM Tracks
19							#N/A	Select	ALL LFFM Tracks
20							#N/A	Select	ALL LFFM Tracks
	Presentations (Mid-Year & Annual)
	Title	Author/Presenter(s) (list)	Journal/Meeting (enter name)	Link to Presentation	Status	Date Presented	OPEI	Awardee Name	Track
							#N/A	Select	ALL LFFM Tracks
							#N/A	Select	ALL LFFM Tracks
							#N/A	Select	ALL LFFM Tracks
							#N/A	Select	ALL LFFM Tracks
							#N/A	Select	ALL LFFM Tracks
							#N/A	Select	ALL LFFM Tracks
							#N/A	Select	ALL LFFM Tracks
	Please confirm the following will be included with the email submission of this report as attachments:
	Required Attachments:
	Laboratory Organization Structure
	ISO/IEC 17025:2017 Scope of Acreditation

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Sheet 3: M-HF

	Grant Track:	M-HF
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Budget Narrative
1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	M-HF
2	Equipment	$0.00	$0.00	$0.00	#N/A	Select	M-HF
3	Travel	$0.00	$0.00	$0.00	#N/A	Select	M-HF
4	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	M-HF
5	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	M-HF
6	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	M-HF
7	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	M-HF
8	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	M-HF
9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	M-HF
10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	M-HF
11	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	M-HF
12	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	M-HF
13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	M-HF
14	Additional Budget Comments:
	M-HF Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award. Laboratories may also list names of key personnel from the State Regulatory Program (SRP) who handle LFFM Sample collection planning and positive sample follow-up – this will allow those staff to receive the LFFM weekly email (they will not be added to the meeting invites or FERNlab.org workgroup for the analytical track).
	Last Name, First Name	CAP Role (If an individual has more than one role for M-HF they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	M-HF
2							#N/A	Select	M-HF
3							#N/A	Select	M-HF
4							#N/A	Select	M-HF
5							#N/A	Select	M-HF
6							#N/A	Select	M-HF
7							#N/A	Select	M-HF
8							#N/A	Select	M-HF
9							#N/A	Select	M-HF
10							#N/A	Select	M-HF
11							#N/A	Select	M-HF
12							#N/A	Select	M-HF
13							#N/A	Select	M-HF
14							#N/A	Select	M-HF
15							#N/A	Select	M-HF
16							#N/A	Select	M-HF
17							#N/A	Select	M-HF
18							#N/A	Select	M-HF
19							#N/A	Select	M-HF
20							#N/A	Select	M-HF
	M-HF Training/Mentorship Administered (Mid-Year & Annual)
	Total number of M-HF related Training/Mentorship Events Administered:
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	Training Other Responses
1				#N/A	Select	M-HF
2				#N/A	Select	M-HF
3				#N/A	Select	M-HF
4				#N/A	Select	M-HF
5				#N/A	Select	M-HF
6				#N/A	Select	M-HF
7				#N/A	Select	M-HF
8				#N/A	Select	M-HF
9				#N/A	Select	M-HF
10				#N/A	Select	M-HF
11				#N/A	Select	M-HF
12				#N/A	Select	M-HF
13				#N/A	Select	M-HF
14				#N/A	Select	M-HF
15				#N/A	Select	M-HF
16				#N/A	Select	M-HF
17				#N/A	Select	M-HF
18				#N/A	Select	M-HF
19				#N/A	Select	M-HF
20				#N/A	Select	M-HF
	M-HF Training Needed (Mid-Year & Annual)
	Does your laboratory need M-HF related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	M-HF Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a M-HF Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	M-HF Small-scale Projects (Annual)
	Projects listed here should include the following: 1) FDA-requested special assignments (testing events) above and beyond the approved sampling plan for the budget period; 2) Method development/validation/other work required during an emergency/outbreak situation, where FDA approved re-direction of approved sampling plan; 3) Participation in FDA-directed matrix extension/method development/method validation work outside of the project formally assigned for the MDV track; 4) Work required as part of a Capability/Capacity development effort.
	Project Name	Scope	Description
	M-HF Proficiency Testing (Annual)
	Please fill in the requested information about proficiency testing and/or competency exercises. Only report PTs/Competency Exercises related to commodity/hazard pairs on your approved sampling plan for the Budget Period.
	PT/Exercise Description (Include analyte(s) and matrices)	PT/Exercise Provider	Laboratory Performance	If unacceptable, explain below	OPEI	Awardee Name	Track	PT Other Responses
1					#N/A	Select	M-HF
2					#N/A	Select	M-HF
3					#N/A	Select	M-HF
4					#N/A	Select	M-HF
5					#N/A	Select	M-HF
6					#N/A	Select	M-HF
7					#N/A	Select	M-HF
8					#N/A	Select	M-HF
9					#N/A	Select	M-HF
10					#N/A	Select	M-HF
	M-HF FDA Form 431 or e431 (Mid-Year & Annual)
	Are you using the FDA Form 431 or e431?
	If no, do the documents you are using cover all the items within the 431?
	Explain your answer:
	State Regulatory Action on M-HF Samples (Mid-Year & Annual)
	Sample Number	Matrix	List Contaminant found	Date analytical package sent to SRP/FDA	Describe any State regulatory actions such as recalls taken as a result of laboratory findings (including dates)	Describe any joint response with FDA as a result of laboratory findings (including dates)	OPEI	Awardee Name	Track	MHF Other Response
1							#N/A	Select	M-HF
2							#N/A	Select	M-HF
3							#N/A	Select	M-HF
4							#N/A	Select	M-HF
5							#N/A	Select	M-HF
6							#N/A	Select	M-HF
7							#N/A	Select	M-HF
8							#N/A	Select	M-HF
9							#N/A	Select	M-HF
10							#N/A	Select	M-HF
	M-HF Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the M-HF track please enter it below:

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Sheet 4: M-AF

	Grant Track:	M-AF
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Other Response Narrative
1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	M-AF
2	Equipment	$0.00	$0.00	$0.00	#N/A	Select	M-AF
3	Travel	$0.00	$0.00	$0.00	#N/A	Select	M-AF
4	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	M-AF
5	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	M-AF
6	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	M-AF
7	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	M-AF
8	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	M-AF
9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	M-AF
10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	M-AF
11	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	M-AF
12	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	M-AF
13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	M-AF
14	Additional Budget Comments:
	M-AF Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award. Laboratories may also list names of key personnel from the State Regulatory Program (SRP) who handle LFFM Sample collection planning and positive sample follow-up – this will allow those staff to receive the LFFM weekly email (they will not be added to the meeting invites or FERNlab.org workgroup for the analytical track).
	Last Name, First Name	CAP Role (If an individual has more than one role for M-AF they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	M-AF
2							#N/A	Select	M-AF
3							#N/A	Select	M-AF
4							#N/A	Select	M-AF
5							#N/A	Select	M-AF
6							#N/A	Select	M-AF
7							#N/A	Select	M-AF
8							#N/A	Select	M-AF
9							#N/A	Select	M-AF
10							#N/A	Select	M-AF
11							#N/A	Select	M-AF
12							#N/A	Select	M-AF
13							#N/A	Select	M-AF
14							#N/A	Select	M-AF
15							#N/A	Select	M-AF
16							#N/A	Select	M-AF
17							#N/A	Select	M-AF
18							#N/A	Select	M-AF
19							#N/A	Select	M-AF
20							#N/A	Select	M-AF
	M-AF Training/Mentorship Administered (Mid-Year & Annual)
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	Training Other Responses
1				#N/A	Select	M-AF
2				#N/A	Select	M-AF
3				#N/A	Select	M-AF
4				#N/A	Select	M-AF
5				#N/A	Select	M-AF
6				#N/A	Select	M-AF
7				#N/A	Select	M-AF
8				#N/A	Select	M-AF
9				#N/A	Select	M-AF
10				#N/A	Select	M-AF
11				#N/A	Select	M-AF
12				#N/A	Select	M-AF
13				#N/A	Select	M-AF
14				#N/A	Select	M-AF
15				#N/A	Select	M-AF
16				#N/A	Select	M-AF
17				#N/A	Select	M-AF
18				#N/A	Select	M-AF
19				#N/A	Select	M-AF
20				#N/A	Select	M-AF
	M-AF Training Needed (Mid-Year & Annual)
	Does your laboratory need M-AF related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	M-AF Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a M-AF Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	M-AF Small-scale Projects (Annual)
	Projects listed here should include the following: 1) FDA-directed special assignments (testing events) above and beyond the approved sampling plan for the year; 2) Method development/validation/other work required during an emergency/outbreak situation, where FDA approved re-direction of approved sampling plan; 3) Participation in FDA-directed matrix extension/method development/method validation work outside of the project formally assigned for the MDV track; 4) Work required as part of a Capability/Capacity development effort.
	Project Name	Scope	Description
	M-AF Proficiency Testing (Annual)
	Please fill in the requested information about proficiency testing and/or competency exercises. Only report PTs/Competency Exercises related to commodity/hazard pairs on your approved sampling plan for the year.
	PT/Exercise Description (Include analyte(s) and matrices)	PT/Exercise Provider	Laboratory Performance	If unacceptable, explain below	OPEI	Awardee Name	Track	PT Other Responses
1					#N/A	Select	M-AF
2					#N/A	Select	M-AF
3					#N/A	Select	M-AF
4					#N/A	Select	M-AF
5					#N/A	Select	M-AF
6					#N/A	Select	M-AF
7					#N/A	Select	M-AF
8					#N/A	Select	M-AF
9					#N/A	Select	M-AF
10					#N/A	Select	M-AF
	M-AF FDA Form 431 or e431 (Mid-Year & Annual)
	Are you using the FDA Form 431 or e431?
	If no, do the documents you are using cover all the items within the 431?
	Explain your answer:
	State Regulatory Action on M-AF Samples (Mid-Year & Annual)
	Sample Number	Matrix	Contaminant found	Date analytical package sent to SRP/FDA	Describe any State regulatory actions such as recalls taken as a result of laboratory findings (including dates)	Describe any joint response with FDA as a result of laboratory findings (including dates)	OPEI	Awardee Name	Track	MAF Other Response
1							#N/A	Select	M-AF
2							#N/A	Select	M-AF
3							#N/A	Select	M-AF
4							#N/A	Select	M-AF
5							#N/A	Select	M-AF
6							#N/A	Select	M-AF
7							#N/A	Select	M-AF
8							#N/A	Select	M-AF
9							#N/A	Select	M-AF
10							#N/A	Select	M-AF
	M-AF Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the M-AF track please enter it below:

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Sheet 5: M-FD

Grant Track:

M-FD

Expenses

Total Budgeted

Expended to Date

Projected Expenses

OPEI

Awardee Name

Track

Budget Narrative

1

Total Salary, Wages, and Fringe Benefits

$0.00

$0.00

$0.00

#N/A

Select

M-FD

2

Equipment

$0.00

$0.00

$0.00

#N/A

Select

M-FD

3

Travel

$0.00

$0.00

$0.00

#N/A

Select

M-FD

4

Materials and Supplies

$0.00

$0.00

$0.00

#N/A

Select

M-FD

5

Publication Costs

$0.00

$0.00

$0.00

#N/A

Select

M-FD

6

Consultant Services

$0.00

$0.00

$0.00

#N/A

Select

M-FD

7

ADP/Computer Services

$0.00

$0.00

$0.00

#N/A

Select

M-FD

8

Subawards/Contractual Costs

$0.00

$0.00

$0.00

#N/A

Select

M-FD

9

Equipment/Facility Rental/User Fees

$0.00

$0.00

$0.00

#N/A

Select

M-FD

10

Federal F&A (Indirect Costs)

$0.00

$0.00

$0.00

#N/A

Select

M-FD

11

Other Costs

$0.00

$0.00

$0.00

#N/A

Select

M-FD

12

Total Budget

$0.00

$0.00

$0.00

#N/A

Select

M-FD

13

Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)

$0.00

#N/A

Select

M-FD

14

Additional Budget Comments:

M-FD Key Personnel (Mid-Year & Annual)

The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.

Last Name, First Name

CAP Role (If an individual has more than one role for M-FD they may be listed for each CAP funded role)

Email

Phone

Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)

Total expected CAP funded Calendar Months for this role

OPEI

Awardee Name

Track

1

#N/A

Select

M-FD

2

#N/A

Select

M-FD

3

#N/A

Select

M-FD

4

#N/A

Select

M-FD

5

#N/A

Select

M-FD

6

#N/A

Select

M-FD

7

#N/A

Select

M-FD

8

#N/A

Select

M-FD

9

#N/A

Select

M-FD

10

#N/A

Select

M-FD

11

#N/A

Select

M-FD

12

#N/A

Select

M-FD

13

#N/A

Select

M-FD

14

#N/A

Select

M-FD

15

#N/A

Select

M-FD

16

#N/A

Select

M-FD

17

#N/A

Select

M-FD

18

#N/A

Select

M-FD

19

#N/A

Select

M-FD

20

#N/A

Select

M-FD

M-FD Training/Mentorship Administered (Mid-Year & Annual)

Describe Mentorship/Training Topic

Laboratories Mentored/Trained

Number of People Trained

OPEI

Awardee Name

Track

Training Other Responses

1

#N/A

Select

M-FD

2

#N/A

Select

M-FD

3

#N/A

Select

M-FD

4

#N/A

Select

M-FD

5

#N/A

Select

M-FD

6

#N/A

Select

M-FD

7

#N/A

Select

M-FD

8

#N/A

Select

M-FD

9

#N/A

Select

M-FD

10

#N/A

Select

M-FD

11

#N/A

Select

M-FD

12

#N/A

Select

M-FD

13

#N/A

Select

M-FD

14

#N/A

Select

M-FD

15

#N/A

Select

M-FD

16

#N/A

Select

M-FD

17

#N/A

Select

M-FD

18

#N/A

Select

M-FD

19

#N/A

Select

M-FD

20

#N/A

Select

M-FD

M-FD Training Needed (Mid-Year & Annual)

Does your laboratory need M-FD related training?

Describe training need:

1

2

3

4

5

6

7

8

9

10

M-FD Mentorship Needed (Mid-Year & Annual)

Are you in need of help finding a M-FD Mentor lab?

Describe mentoring need

If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:

1

2

3

4

5

6

7

8

9

10

M-FD Expansions of Capabilities/Capacities for Food Defense testing (Mid-Year & Annual)

Please describe increases or expansions in capabilities or capacities for food Defense testing (increases in trained personnel, new capabilities developed, etc.). Make sure Food Defense related trainings are also itemized in the Trainings section on All-Tracks Tab:

If your lab utilized funding to implement a new method under the Food Defense Track, please fill in the chart below:

Was Equipment Purchased?

If No equipment was purchased, explain below:

Were supplies, reagents, media, standards, etc. purchased?

If No supplies were purchased, explain below:

Training Received?

Describe Training Received (or explain if no training was received for this method)

Competency Demonstrated?

If competency was not demonstrated explain below:

OPEI

Awardee Name

Track

CC Narrative

1

#N/A

Select

M-FD

2

#N/A

Select

M-FD

3

#N/A

Select

M-FD

4

#N/A

Select

M-FD

5

#N/A

Select

M-FD

6

#N/A

Select

M-FD

7

#N/A

Select

M-FD

8

#N/A

Select

M-FD

9

#N/A

Select

M-FD

10

#N/A

Select

M-FD

M-FD Maintenance of Key Food Defense Capabilities/Methods (Mid-Year & Annual)

Complete the following table to document your current capabilities for key food defense methods. Use the drop-down to select methods for which your lab has established capability, or is in the process of building capability. Filling out this table may also assist laboratories in identifying steps you may need to take to increase capability and/or capacity for any of these methods. The chart below is populated with methods that have been identified as key capabilities for this Food Defense Track, but there is space to enter other methods that are not currently listed. Only select or add methods for which you have established capability, or have committed to establishing capability as an objective of the Track.

Methods

Methods Comments (required for an "Other" response)

Equipment in House & Operational?

Equipment Comments (required for a "No" response)

Supplies, Reagents, Media in House and Within Date

Supplies Comments (required for a "No" response)

Number Analysts Trained

Name of PT/Competency Exercise

Provider

Date of Last Competency Determination

Laboratory Performance

Laboratory Performance Comments (required for "unacceptable" performance)

Summarize Next Steps to Maintain Capability, Increase Capacity or Document Needs

OPEI

Awardee Name

Track

PT and FD responses

1

#N/A

Select

M-FD

2

#N/A

Select

M-FD

3

#N/A

Select

M-FD

4

#N/A

Select

M-FD

5

#N/A

Select

M-FD

6

#N/A

Select

M-FD

7

#N/A

Select

M-FD

8

#N/A

Select

M-FD

9

#N/A

Select

M-FD

10

#N/A

Select

M-FD

M-FD Food Defense Activities i.e. FDA-assigned samples, exercises, responses (Mid-Year & Annual)

Activity

Description of Activity and Highlights

1

2

3

4

5

6

7

8

9

10

Is your laboratory registered for Select Agents or Toxins?

If so, at what level?

Does your lab have an APHIS permit for controlled materials transport?

Do you have laboratory staff that can package and ship Category A?

Do you have laboratory staff that can package and ship Select Agents?

Does your laboratory have BSL2 facilities in which BSL-2+ work can be completed?

Does your laboratory have BSL3 facilities?

If so, are they operational?

Can you accept food samples for testing?

M-FD Track Additional Information (Mid-Year & Annual)

If there is any other information you would like to provide regarding your program within the M-FD track please enter it below:

---

Sheet 6: M-WGS

	Grant Track:	M-WGS
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Budget Narrative
1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
2	Equipment	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
3	Travel	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
4	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
5	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
6	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
7	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
8	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
11	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
12	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	M-WGS
13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	M-WGS
14	Additional Budget Comments:
	M-WGS Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.
	Last Name, First Name	CAP Role (If an individual has more than one role for M-WGS they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	M-WGS
2							#N/A	Select	M-WGS
3							#N/A	Select	M-WGS
4							#N/A	Select	M-WGS
5							#N/A	Select	M-WGS
6							#N/A	Select	M-WGS
7							#N/A	Select	M-WGS
8							#N/A	Select	M-WGS
9							#N/A	Select	M-WGS
10							#N/A	Select	M-WGS
11							#N/A	Select	M-WGS
12							#N/A	Select	M-WGS
13							#N/A	Select	M-WGS
14							#N/A	Select	M-WGS
15							#N/A	Select	M-WGS
16							#N/A	Select	M-WGS
17							#N/A	Select	M-WGS
18							#N/A	Select	M-WGS
19							#N/A	Select	M-WGS
20							#N/A	Select	M-WGS
	M-WGS Training/Mentorship Administered (Mid-Year & Annual)
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	Training Other Responses
1				#N/A	Select	M-WGS
2				#N/A	Select	M-WGS
3				#N/A	Select	M-WGS
4				#N/A	Select	M-WGS
5				#N/A	Select	M-WGS
6				#N/A	Select	M-WGS
7				#N/A	Select	M-WGS
8				#N/A	Select	M-WGS
9				#N/A	Select	M-WGS
10				#N/A	Select	M-WGS
11				#N/A	Select	M-WGS
12				#N/A	Select	M-WGS
13				#N/A	Select	M-WGS
14				#N/A	Select	M-WGS
15				#N/A	Select	M-WGS
16				#N/A	Select	M-WGS
17				#N/A	Select	M-WGS
18				#N/A	Select	M-WGS
19				#N/A	Select	M-WGS
20				#N/A	Select	M-WGS
	M-WGS Training Needed (Mid-Year & Annual)
	Does your laboratory need M-WGS related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	M-WGS Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a M-WGS Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	M-WGS Proficiency Testing (Annual)
	Please fill in the requested information about proficiency testing and/or competency exercises. Only report PTs/Competency Exercises related to the work performed under this Track.
	PT/Exercise Description (Include analyte(s) and matrices)	PT/Exercise Provider	Laboratory Performance	If unacceptable, explain below	OPEI	Awardee Name	Track	PT Other Responses
1					#N/A	Select	M-WGS
2					#N/A	Select	M-WGS
3					#N/A	Select	M-WGS
4					#N/A	Select	M-WGS
5					#N/A	Select	M-WGS
6					#N/A	Select	M-WGS
7					#N/A	Select	M-WGS
8					#N/A	Select	M-WGS
9					#N/A	Select	M-WGS
10					#N/A	Select	M-WGS
	M-WGS Collaborations (Mid-Year & Annual)
		Please select "Yes" for those collaboration types that apply or "No" for those that do not below:
	Specific Projects (sets of Isolates) the Lab is Sequencing	FDA Directed Project	Academia Collaboration	International Collaboration	Other Historical Isolate Sets	Comments	OPEI	Awardee Name	Track
1							#N/A	Select	M-WGS
2							#N/A	Select	M-WGS
3							#N/A	Select	M-WGS
4							#N/A	Select	M-WGS
5							#N/A	Select	M-WGS
6							#N/A	Select	M-WGS
7							#N/A	Select	M-WGS
8							#N/A	Select	M-WGS
9							#N/A	Select	M-WGS
10							#N/A	Select	M-WGS
	M-WGS Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the M-WGS track please enter it below:

---

Sheet 7: M-CC

Grant Track:

M-CC

Expenses

Total Budgeted

Expended to Date

Projected Expenses

OPEI

Awardee Name

Track

Budget Narrative

1

Total Salary, Wages, and Fringe Benefits

$0.00

$0.00

$0.00

#N/A

Select

M-CC

2

Equipment

$0.00

$0.00

$0.00

#N/A

Select

M-CC

3

Travel

$0.00

$0.00

$0.00

#N/A

Select

M-CC

4

Materials and Supplies

$0.00

$0.00

$0.00

#N/A

Select

M-CC

5

Publication Costs

$0.00

$0.00

$0.00

#N/A

Select

M-CC

6

Consultant Services

$0.00

$0.00

$0.00

#N/A

Select

M-CC

7

ADP/Computer Services

$0.00

$0.00

$0.00

#N/A

Select

M-CC

8

Subawards/Contractual Costs

$0.00

$0.00

$0.00

#N/A

Select

M-CC

9

Equipment/Facility Rental/User Fees

$0.00

$0.00

$0.00

#N/A

Select

M-CC

10

Federal F&A (Indirect Costs)

$0.00

$0.00

$0.00

#N/A

Select

M-CC

11

Other Costs

$0.00

$0.00

$0.00

#N/A

Select

M-CC

12

Total Budget

$0.00

$0.00

$0.00

#N/A

Select

M-CC

13

Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)

$0.00

#N/A

Select

M-CC

14

Additional Budget Comments:

M-CC Key Personnel (Mid-Year & Annual)

The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.

Last Name, First Name

CAP Role (If an individual has more than one role for M-CC they may be listed for each CAP funded role)

Email

Phone

Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)

Total expected CAP funded Calendar Months for this role

OPEI

Awardee Name

Track

1

#N/A

Select

M-CC

2

#N/A

Select

M-CC

3

#N/A

Select

M-CC

4

#N/A

Select

M-CC

5

#N/A

Select

M-CC

6

#N/A

Select

M-CC

7

#N/A

Select

M-CC

8

#N/A

Select

M-CC

9

#N/A

Select

M-CC

10

#N/A

Select

M-CC

11

#N/A

Select

M-CC

12

#N/A

Select

M-CC

13

#N/A

Select

M-CC

14

#N/A

Select

M-CC

15

#N/A

Select

M-CC

16

#N/A

Select

M-CC

17

#N/A

Select

M-CC

18

#N/A

Select

M-CC

19

#N/A

Select

M-CC

20

#N/A

Select

M-CC

M-CC Training/Mentorship Administered (Mid-Year & Annual)

Describe Mentorship/Training Topic

Laboratories Mentored/Trained

Number of People Trained

OPEI

Awardee Name

Track

Training Other Responses

1

#N/A

Select

M-CC

2

#N/A

Select

M-CC

3

#N/A

Select

M-CC

4

#N/A

Select

M-CC

5

#N/A

Select

M-CC

6

#N/A

Select

M-CC

7

#N/A

Select

M-CC

8

#N/A

Select

M-CC

9

#N/A

Select

M-CC

10

#N/A

Select

M-CC

11

#N/A

Select

M-CC

12

#N/A

Select

M-CC

13

#N/A

Select

M-CC

14

#N/A

Select

M-CC

15

#N/A

Select

M-CC

16

#N/A

Select

M-CC

17

#N/A

Select

M-CC

18

#N/A

Select

M-CC

19

#N/A

Select

M-CC

20

#N/A

Select

M-CC

M-CC Training Needed (Mid-Year & Annual)

Does your laboratory need M-CC related training?

Describe training need:

1

2

3

4

5

6

7

8

9

10

M-CC Mentorship Needed (Mid-Year & Annual)

Are you in need of help finding a M-CC Mentor lab?

Describe mentoring need

If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:

1

2

3

4

5

6

7

8

9

10

M-CC Capability/Capacity Development (Mid-Year & Annual)

Please describe highlights as they align with the M-CC Development Grant Track:

If your lab was funded to implement a new method under the M-CC Development Track please fill in chart below:

Was Equipment Purchased?

If No equipment was purchased, explain below:

Were supplies, reagents, media, standards, etc. purchased?

If No supplies were purchased, explain below:

Training Received?

Describe Training Received (or explain if no training was received for this method)

Competency Demonstrated?

If competency was not demonstrated explain below:

OPEI

Awardee Name

Track

CC Other Responses

1

#N/A

Select

M-CC

2

#N/A

Select

M-CC

3

#N/A

Select

M-CC

4

#N/A

Select

M-CC

5

#N/A

Select

M-CC

6

#N/A

Select

M-CC

7

#N/A

Select

M-CC

8

#N/A

Select

M-CC

9

#N/A

Select

M-CC

10

#N/A

Select

M-CC

M-CC Proficiency Testing (Annual)

Please fill in the requested information about proficiency testing and/or competency exercises. Only report PTs/Competency Exercises related to the work performed under this Track.

PT/Exercise Description (Include analyte(s) and matrices)

PT/Exercise Provider

Laboratory Performance

If unacceptable, explain below

OPEI

Awardee Name

Track

PT Other Responses

1

#N/A

Select

M-CC

2

#N/A

Select

M-CC

3

#N/A

Select

M-CC

4

#N/A

Select

M-CC

5

#N/A

Select

M-CC

6

#N/A

Select

M-CC

7

#N/A

Select

M-CC

8

#N/A

Select

M-CC

9

#N/A

Select

M-CC

10

#N/A

Select

M-CC

M-CC Track Additional Information (Mid-Year & Annual)

If there is any other information you would like to provide regarding your program within the M-CC track please enter it below:

---

Sheet 8: C-HF

	Grant Track:	C-HF
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Budget Narrative
1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	C-HF
2	Equipment	$0.00	$0.00	$0.00	#N/A	Select	C-HF
3	Travel	$0.00	$0.00	$0.00	#N/A	Select	C-HF
4	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	C-HF
5	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	C-HF
6	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	C-HF
7	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	C-HF
8	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	C-HF
9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	C-HF
10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	C-HF
11	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	C-HF
12	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	C-HF
13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	C-HF
	Additional Budget Comments:				#N/A	Select	C-HF	0
14	Additional Budget Comments:
	C-HF Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award. Laboratories may also list names of key personnel from the State Regulatory Program (SRP) who handle LFFM Sample collection planning and positive sample follow-up – this will allow those staff to receive the LFFM weekly email (they will not be added to the meeting invites or FERNlab.org workgroup for the analytical track).
	Last Name, First Name	CAP Role (If an individual has more than one role for C-HF they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	C-HF
2							#N/A	Select	C-HF
3							#N/A	Select	C-HF
4							#N/A	Select	C-HF
5							#N/A	Select	C-HF
6							#N/A	Select	C-HF
7							#N/A	Select	C-HF
8							#N/A	Select	C-HF
9							#N/A	Select	C-HF
10							#N/A	Select	C-HF
11							#N/A	Select	C-HF
12							#N/A	Select	C-HF
13							#N/A	Select	C-HF
14							#N/A	Select	C-HF
15							#N/A	Select	C-HF
16							#N/A	Select	C-HF
17							#N/A	Select	C-HF
18							#N/A	Select	C-HF
19							#N/A	Select	C-HF
20							#N/A	Select	C-HF
	C-HF Training/Mentorship Administered (Mid-Year & Annual)
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	Training Other Responses
1				#N/A	Select	C-HF
2				#N/A	Select	C-HF
3				#N/A	Select	C-HF
4				#N/A	Select	C-HF
5				#N/A	Select	C-HF
6				#N/A	Select	C-HF
7				#N/A	Select	C-HF
8				#N/A	Select	C-HF
9				#N/A	Select	C-HF
10				#N/A	Select	C-HF
11				#N/A	Select	C-HF
12				#N/A	Select	C-HF
13				#N/A	Select	C-HF
14				#N/A	Select	C-HF
15				#N/A	Select	C-HF
16				#N/A	Select	C-HF
17				#N/A	Select	C-HF
18				#N/A	Select	C-HF
19				#N/A	Select	C-HF
20				#N/A	Select	C-HF
	C-HF Training Needed (Mid-Year & Annual)
	Does your laboratory need C-HF related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	C-HF Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a C-HF Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	C-HF Small-scale Projects (Annual)
	Projects listed here should include the following: 1) FDA-directed special assignments (testing events) above and beyond the approved sampling plan for the year; 2) Method development/validation/other work required during an emergency/outbreak situation, where FDA approved re-direction of approved sampling plan; 3) Participation in FDA-directed matrix extension/method development/method validation work outside of the project formally assigned for the MDV track; 4) Work required as part of a Capability/Capacity development effort.
	Project Name	Scope	Description
	C-HF Proficiency Testing (Annual)
	Please fill in the requested information about proficiency testing and/or competency exercises. Only report PTs/Competency Exercises related to commodity/hazard pairs on your approved sampling plan for the year.
	PT/Exercise Description (Include analyte(s) and matrices)	PT/Exercise Provider	Laboratory Performance	If unacceptable, explain below	OPEI	Awardee Name	Track	PT Other Responses
1					#N/A	Select	C-HF
2					#N/A	Select	C-HF
3					#N/A	Select	C-HF
4					#N/A	Select	C-HF
5					#N/A	Select	C-HF
6					#N/A	Select	C-HF
7					#N/A	Select	C-HF
8					#N/A	Select	C-HF
9					#N/A	Select	C-HF
10					#N/A	Select	C-HF
	C-HF FDA Form 431 or e431 (Mid-Year & Annual)
	Are you using the FDA Form 431 or e431?
	If no, do the documents you are using cover all the items within the 431?
	Explain your answer:
	State Regulatory Action on C-HF Samples (Mid-Year & Annual)
	Sample Number	Matrix	Contaminant found	Date analytical package sent to SRP/FDA	Describe any State regulatory actions such as recalls taken as a result of laboratory findings (including dates)	Describe any joint response with FDA as a result of laboratory findings (including dates)	OPEI	Awardee Name	Track	CHF Other Responses
1							#N/A	Select	C-HF
2							#N/A	Select	C-HF
3							#N/A	Select	C-HF
4							#N/A	Select	C-HF
5							#N/A	Select	C-HF
6							#N/A	Select	C-HF
7							#N/A	Select	C-HF
8							#N/A	Select	C-HF
9							#N/A	Select	C-HF
10							#N/A	Select	C-HF
	C-HF Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the C-HF track please enter it below:

---

Sheet 9: C-FD

Grant Track:

C-FD

Expenses

Total Budgeted

Expended to Date

Projected Expenses

OPEI

Awardee Name

Track

Budget Narrative

1

Total Salary, Wages, and Fringe Benefits

$0.00

$0.00

$0.00

#N/A

Select

C-FD

2

Equipment

$0.00

$0.00

$0.00

#N/A

Select

C-FD

3

Travel

$0.00

$0.00

$0.00

#N/A

Select

C-FD

4

Materials and Supplies

$0.00

$0.00

$0.00

#N/A

Select

C-FD

5

Publication Costs

$0.00

$0.00

$0.00

#N/A

Select

C-FD

6

Consultant Services

$0.00

$0.00

$0.00

#N/A

Select

C-FD

7

ADP/Computer Services

$0.00

$0.00

$0.00

#N/A

Select

C-FD

8

Subawards/Contractual Costs

$0.00

$0.00

$0.00

#N/A

Select

C-FD

9

Equipment/Facility Rental/User Fees

$0.00

$0.00

$0.00

#N/A

Select

C-FD

10

Federal F&A (Indirect Costs)

$0.00

$0.00

$0.00

#N/A

Select

C-FD

11

Other Costs

$0.00

$0.00

$0.00

#N/A

Select

C-FD

12

Total Budget

$0.00

$0.00

$0.00

#N/A

Select

C-FD

13

Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)

$0.00

#N/A

Select

C-FD

14

Additional Budget Comments:

C-FD Key Personnel (Mid-Year & Annual)

The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.

Last Name, First Name

CAP Role (If an individual has more than one role for C-FD they may be listed for each CAP funded role)

Email

Phone

Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)

Total expected CAP funded Calendar Months for this role

OPEI

Awardee Name

Track

1

#N/A

Select

C-FD

2

#N/A

Select

C-FD

3

#N/A

Select

C-FD

4

#N/A

Select

C-FD

5

#N/A

Select

C-FD

6

#N/A

Select

C-FD

7

#N/A

Select

C-FD

8

#N/A

Select

C-FD

9

#N/A

Select

C-FD

10

#N/A

Select

C-FD

11

#N/A

Select

C-FD

12

#N/A

Select

C-FD

13

#N/A

Select

C-FD

14

#N/A

Select

C-FD

15

#N/A

Select

C-FD

16

#N/A

Select

C-FD

17

#N/A

Select

C-FD

18

#N/A

Select

C-FD

19

#N/A

Select

C-FD

20

#N/A

Select

C-FD

C-FD Training/Mentorship Administered (Mid-Year & Annual)

Describe Mentorship/Training Topic

Laboratories Mentored/Trained

Number of People Trained

OPEI

Awardee Name

Track

Training Other Responses

1

#N/A

Select

C-FD

2

#N/A

Select

C-FD

3

#N/A

Select

C-FD

4

#N/A

Select

C-FD

5

#N/A

Select

C-FD

6

#N/A

Select

C-FD

7

#N/A

Select

C-FD

8

#N/A

Select

C-FD

9

#N/A

Select

C-FD

10

#N/A

Select

C-FD

11

#N/A

Select

C-FD

12

#N/A

Select

C-FD

13

#N/A

Select

C-FD

14

#N/A

Select

C-FD

15

#N/A

Select

C-FD

16

#N/A

Select

C-FD

17

#N/A

Select

C-FD

18

#N/A

Select

C-FD

19

#N/A

Select

C-FD

20

#N/A

Select

C-FD

C-FD Training Needed (Mid-Year & Annual)

Does your laboratory need C-FD related training?

Describe training need:

1

2

3

4

5

6

7

8

9

10

C-FD Mentorship Needed (Mid-Year & Annual)

Are you in need of help finding a C-FD Mentor lab?

Describe mentoring need

If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:

1

2

3

4

5

6

7

8

9

10

C-FD Expansions of Capabilities/Capacities for Food Defense testing (Mid-Year & Annual)

Please describe increases or expansions in capabilities or capacities for food Defense testing (increases in trained personnel, new capabilities developed, etc.). Make sure Food Defense related trainings are also itemized in the Trainings section on All-Tracks Tab:

If your lab utilized funding to implement a new method under the Food Defense Track, please fill in the chart below:

Was Equipment Purchased?

If No equipment was purchased, explain below:

Were supplies, reagents, media, standards, etc. purchased?

If No supplies were purchased, explain below:

Training Received?

Describe Training Received (or explain if no training was received for this method)

Competency Demonstrated?

If competency was not demonstrated explain below:

OPEI

Awardee Name

Track

Other Responses

1

#N/A

Select

C-FD

2

#N/A

Select

C-FD

3

#N/A

Select

C-FD

4

#N/A

Select

C-FD

5

#N/A

Select

C-FD

6

#N/A

Select

C-FD

7

#N/A

Select

C-FD

8

#N/A

Select

C-FD

9

#N/A

Select

C-FD

10

#N/A

Select

C-FD

C-FD Maintenance of Key Food Defense Capabilities/Methods (Mid-Year & Annual)

Complete the following table to document your current capabilities for key food defense methods. Use the drop-down to select methods for which your lab has established capability, or is in the process of building capability. Filling out this table may also assist laboratories in identifying steps you may need to take to increase capability and/or capacity for any of these methods. The chart below is populated with methods that have been identified as key capabilities for this Food Defense Track, but there is space to enter other methods that are not currently listed. Only select or add methods for which you have established capability, or have committed to establishing capability as an objective of the Track.

Methods

Methods Comments (required for an "Other" response)

Equipment in House & Operational?

Equipment Comments (required for a "No" response)

Supplies, Reagents, Media in House and Within Date

Supplies Comments (required for a "No" response)

Number Analysts Trained

Name of PT/Competency Exercise

Provider

Date of Last Competency Determination

Laboratory Performance

Laboratory Performance Comments (required for "unacceptable" performance)

Summarize Next Steps to Maintain Capability, Increase Capacity or Document Needs

OPEI

Awardee Name

Track

Other Responses

1

#N/A

Select

C-FD

2

#N/A

Select

C-FD

3

#N/A

Select

C-FD

4

#N/A

Select

C-FD

5

#N/A

Select

C-FD

6

#N/A

Select

C-FD

7

#N/A

Select

C-FD

8

#N/A

Select

C-FD

9

#N/A

Select

C-FD

10

#N/A

Select

C-FD

C-FD Food Defense Activities i.e. FDA-assigned samples, exercises, responses (Mid-Year & Annual)

Activity

Description of Activity and Highlights

1

2

3

4

5

6

7

8

9

10

C-FD Track Additional Information (Mid-Year & Annual)

If there is any other information you would like to provide regarding your program within the C-FD track please enter it below:

---

Sheet 10: C-AF

	Grant Track:	C-AF
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Budget Narrative
1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	C-AF
2	Equipment	$0.00	$0.00	$0.00	#N/A	Select	C-AF
3	Travel	$0.00	$0.00	$0.00	#N/A	Select	C-AF
4	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	C-AF
5	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	C-AF
6	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	C-AF
7	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	C-AF
8	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	C-AF
9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	C-AF
10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	C-AF
11	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	C-AF
12	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	C-AF
13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	C-AF
14	Additional Budget Comments:
	C-AF Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award. Laboratories may also list names of key personnel from the State Regulatory Program (SRP) who handle LFFM Sample collection planning and positive sample follow-up – this will allow those staff to receive the LFFM weekly email (they will not be added to the meeting invites or FERNlab.org workgroup for the analytical track).
	Last Name, First Name	CAP Role (If an individual has more than one role for C-AF they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	C-AF
2							#N/A	Select	C-AF
3							#N/A	Select	C-AF
4							#N/A	Select	C-AF
5							#N/A	Select	C-AF
6							#N/A	Select	C-AF
7							#N/A	Select	C-AF
8							#N/A	Select	C-AF
9							#N/A	Select	C-AF
10							#N/A	Select	C-AF
11							#N/A	Select	C-AF
12							#N/A	Select	C-AF
13							#N/A	Select	C-AF
14							#N/A	Select	C-AF
15							#N/A	Select	C-AF
16							#N/A	Select	C-AF
17							#N/A	Select	C-AF
18							#N/A	Select	C-AF
19							#N/A	Select	C-AF
20							#N/A	Select	C-AF
	C-AF Training/Mentorship Administered (Mid-Year & Annual)
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	Training Other Responses
1				#N/A	Select	C-AF
2				#N/A	Select	C-AF
3				#N/A	Select	C-AF
4				#N/A	Select	C-AF
5				#N/A	Select	C-AF
6				#N/A	Select	C-AF
7				#N/A	Select	C-AF
8				#N/A	Select	C-AF
9				#N/A	Select	C-AF
10				#N/A	Select	C-AF
11				#N/A	Select	C-AF
12				#N/A	Select	C-AF
13				#N/A	Select	C-AF
14				#N/A	Select	C-AF
15				#N/A	Select	C-AF
16				#N/A	Select	C-AF
17				#N/A	Select	C-AF
18				#N/A	Select	C-AF
19				#N/A	Select	C-AF
20				#N/A	Select	C-AF
	C-AF Training Needed (Mid-Year & Annual)
	Does your laboratory need C-AF related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	C-AF Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a C-AF Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	C-AF Small-scale Projects (Annual)
	Projects listed here should include the following: 1) FDA-directed special assignments (testing events) above and beyond the approved sampling plan for the year; 2) Method development/validation/other work required during an emergency/outbreak situation, where FDA approved re-direction of approved sampling plan; 3) Participation in FDA-directed matrix extension/method development/method validation work outside of the project formally assigned for the MDV track; 4) Work required as part of a Capability/Capacity development effort.
	Project Name	Scope	Description
	C-AF Proficiency Testing (Annual)
	Please fill in the requested information about proficiency testing and/or competency exercises. Only report PTs/Competency Exercises related to commodity/hazard pairs on your approved sampling plan for the budget period.
	PT/Exercise Description (Include analyte(s) and matrices)	PT/Exercise Provider	Laboratory Performance	If unacceptable, explain below	OPEI	Awardee Name	Track	PT Other Responses
1					#N/A	Select	C-AF
2					#N/A	Select	C-AF
3					#N/A	Select	C-AF
4					#N/A	Select	C-AF
5					#N/A	Select	C-AF
6					#N/A	Select	C-AF
7					#N/A	Select	C-AF
8					#N/A	Select	C-AF
9					#N/A	Select	C-AF
10					#N/A	Select	C-AF
	C-AF FDA Form 431 or e431 (Mid-Year & Annual)
	Are you using the FDA Form 431 or e431?
	If no, do the documents you are using cover all the items within the 431?
	Explain your answer:
	State Regulatory Action on C-AF Samples (Mid-Year & Annual)
	Sample Number	Matrix	Contaminant found	Date analytical package sent to SRP/FDA	Describe any State regulatory actions such as recalls taken as a result of laboratory findings (including dates)	Describe any joint response with FDA as a result of laboratory findings (including dates)	OPEI	Awardee Name	Track	CAF Other Responses
1							#N/A	Select	C-AF
2							#N/A	Select	C-AF
3							#N/A	Select	C-AF
4							#N/A	Select	C-AF
5							#N/A	Select	C-AF
6							#N/A	Select	C-AF
7							#N/A	Select	C-AF
8							#N/A	Select	C-AF
9							#N/A	Select	C-AF
10							#N/A	Select	C-AF
	C-AF Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the C-AF track please enter it below:

---

Sheet 11: R-FD

Grant Track:

R-FD

Expenses

Total Budgeted

Expended to Date

Projected Expenses

OPEI

Awardee Name

Track

Budget Narrative

1

Total Salary, Wages, and Fringe Benefits

$0.00

$0.00

$0.00

#N/A

Select

R-FD

2

Equipment

$0.00

$0.00

$0.00

#N/A

Select

R-FD

3

Travel

$0.00

$0.00

$0.00

#N/A

Select

R-FD

4

Materials and Supplies

$0.00

$0.00

$0.00

#N/A

Select

R-FD

5

Publication Costs

$0.00

$0.00

$0.00

#N/A

Select

R-FD

6

Consultant Services

$0.00

$0.00

$0.00

#N/A

Select

R-FD

7

ADP/Computer Services

$0.00

$0.00

$0.00

#N/A

Select

R-FD

8

Subawards/Contractual Costs

$0.00

$0.00

$0.00

#N/A

Select

R-FD

9

Equipment/Facility Rental/User Fees

$0.00

$0.00

$0.00

#N/A

Select

R-FD

10

Federal F&A (Indirect Costs)

$0.00

$0.00

$0.00

#N/A

Select

R-FD

11

Other Costs

$0.00

$0.00

$0.00

#N/A

Select

R-FD

12

Total Budget

$0.00

$0.00

$0.00

#N/A

Select

R-FD

13

Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)

$0.00

#N/A

Select

R-FD

14

Additional Budget Comments:

R-FD Key Personnel (Mid-Year & Annual)

The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.

Last Name, First Name

CAP Role (If an individual has more than one role for R-FD they may be listed for each CAP funded role)

Email

Phone

Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)

Total expected CAP funded Calendar Months for this role

OPEI

Awardee Name

Track

1

#N/A

Select

R-FD

2

#N/A

Select

R-FD

3

#N/A

Select

R-FD

4

#N/A

Select

R-FD

5

#N/A

Select

R-FD

6

#N/A

Select

R-FD

7

#N/A

Select

R-FD

8

#N/A

Select

R-FD

9

#N/A

Select

R-FD

10

#N/A

Select

R-FD

11

#N/A

Select

R-FD

12

#N/A

Select

R-FD

13

#N/A

Select

R-FD

14

#N/A

Select

R-FD

15

#N/A

Select

R-FD

16

#N/A

Select

R-FD

17

#N/A

Select

R-FD

18

#N/A

Select

R-FD

19

#N/A

Select

R-FD

20

#N/A

Select

R-FD

R-FD Training/Mentorship Administered (Mid-Year & Annual)

Describe Mentorship/Training Topic

Laboratories Mentored/Trained

Number of People Trained

OPEI

Awardee Name

Track

Training Other Responses

1

#N/A

Select

R-FD

2

#N/A

Select

R-FD

3

#N/A

Select

R-FD

4

#N/A

Select

R-FD

5

#N/A

Select

R-FD

6

#N/A

Select

R-FD

7

#N/A

Select

R-FD

8

#N/A

Select

R-FD

9

#N/A

Select

R-FD

10

#N/A

Select

R-FD

11

#N/A

Select

R-FD

12

#N/A

Select

R-FD

13

#N/A

Select

R-FD

14

#N/A

Select

R-FD

15

#N/A

Select

R-FD

16

#N/A

Select

R-FD

17

#N/A

Select

R-FD

18

#N/A

Select

R-FD

19

#N/A

Select

R-FD

20

#N/A

Select

R-FD

R-FD Training Needed (Mid-Year & Annual)

Does your laboratory need R-FD related training?

Describe training need:

1

2

3

4

5

6

7

8

9

10

R-FD Mentorship Needed (Mid-Year & Annual)

Are you in need of help finding a R-FD Mentor lab?

Describe mentoring need

If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:

1

2

3

4

5

6

7

8

9

10

R-FD Expansions of Capabilities/Capacities for Food Defense testing (Mid-Year & Annual)

Please describe increases or expansions in capabilities or capacities for food Defense testing (increases in trained personnel, new capabilities developed, etc.). Make sure Food Defense related trainings are also itemized in the Trainings section on All-Tracks Tab:

If your lab utilized funding to implement a new method under the Food Defense Track, please fill in the chart below:

Was Equipment Purchased?

If No equipment was purchased, explain below:

Were supplies, reagents, media, standards, etc. purchased?

If No supplies were purchased, explain below:

Training Received?

Describe Training Received (or explain if no training was received for this method)

Competency Demonstrated?

If competency was not demonstrated explain below:

OPEI

Awardee Name

Track

CC Other Responses

1

#N/A

Select

R-FD

2

#N/A

Select

R-FD

3

#N/A

Select

R-FD

4

#N/A

Select

R-FD

5

#N/A

Select

R-FD

6

#N/A

Select

R-FD

7

#N/A

Select

R-FD

8

#N/A

Select

R-FD

9

#N/A

Select

R-FD

10

#N/A

Select

R-FD

R-FD Maintenance of Key Food Defense Capabilities/Methods (Mid-Year & Annual)

Complete the following table to document your current capabilities for key food defense methods. Use the drop-down to select methods for which your lab has established capability, or is in the process of building capability. Filling out this table may also assist laboratories in identifying steps you may need to take to increase capability and/or capacity for any of these methods. The chart below is populated with methods that have been identified as key capabilities for this Food Defense Track, but there is space to enter other methods that are not currently listed. Only select or add methods for which you have established capability, or have committed to establishing capability as an objective of the Track.

Methods

Methods Comments (required for an "Other" response)

Equipment in House & Operational?

Equipment Comments (required for a "No" response)

Supplies, Reagents, Media in House and Within Date

Supplies Comments (required for a "No" response)

Number Analysts Trained

Name of PT/Competency Exercise

Provider

Date of Last Competency Determination

Laboratory Performance

Laboratory Performance Comments (required for "unacceptable" performance)

Summarize Next Steps to Maintain Capability, Increase Capacity or Document Needs

OPEI

Awardee Name

Track

PT Other Responses

1

#N/A

Select

R-FD

2

#N/A

Select

R-FD

3

#N/A

Select

R-FD

4

#N/A

Select

R-FD

5

#N/A

Select

R-FD

6

#N/A

Select

R-FD

7

#N/A

Select

R-FD

8

#N/A

Select

R-FD

9

#N/A

Select

R-FD

10

#N/A

Select

R-FD

R-FD Food Defense Activities i.e. FDA-assigned samples, exercises, responses (Mid-Year & Annual)

Activity

Description of Activity and Highlights

1

2

3

4

5

6

7

8

9

10

R-FD Track Additional Information (Mid-Year & Annual)

If there is any other information you would like to provide regarding your program within the R-FD track please enter it below:

---

Sheet 12: SP-SC

	Grant Track:	SP-SC
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Budget Narrative
1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
2	Equipment	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
3	Travel	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
4	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
5	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
6	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
7	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
8	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
11	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
12	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	SP-SC
13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	SP-SC
14	Additional Budget Comments:
	SP-SC Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.
	Last Name, First Name	CAP Role (If an individual has more than one role for SP-SC they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	SP-SC
2							#N/A	Select	SP-SC
3							#N/A	Select	SP-SC
4							#N/A	Select	SP-SC
5							#N/A	Select	SP-SC
6							#N/A	Select	SP-SC
7							#N/A	Select	SP-SC
8							#N/A	Select	SP-SC
9							#N/A	Select	SP-SC
10							#N/A	Select	SP-SC
11							#N/A	Select	SP-SC
12							#N/A	Select	SP-SC
13							#N/A	Select	SP-SC
14							#N/A	Select	SP-SC
15							#N/A	Select	SP-SC
16							#N/A	Select	SP-SC
17							#N/A	Select	SP-SC
18							#N/A	Select	SP-SC
19							#N/A	Select	SP-SC
20							#N/A	Select	SP-SC
	SP-SC Training/Mentorship Administered (Mid-Year & Annual)
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	Training Other Responses
1				#N/A	Select	SP-SC
2				#N/A	Select	SP-SC
3				#N/A	Select	SP-SC
4				#N/A	Select	SP-SC
5				#N/A	Select	SP-SC
6				#N/A	Select	SP-SC
7				#N/A	Select	SP-SC
8				#N/A	Select	SP-SC
9				#N/A	Select	SP-SC
10				#N/A	Select	SP-SC
11				#N/A	Select	SP-SC
12				#N/A	Select	SP-SC
13				#N/A	Select	SP-SC
14				#N/A	Select	SP-SC
15				#N/A	Select	SP-SC
16				#N/A	Select	SP-SC
17				#N/A	Select	SP-SC
18				#N/A	Select	SP-SC
19				#N/A	Select	SP-SC
20				#N/A	Select	SP-SC
	SP-SC Training Needed (Mid-Year & Annual)
	Does your laboratory need SP-SC related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	SP-SC Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a SP-SC Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	SP-SC Competency Verification Exercises (Annual)
	Please fill in the requested information about proficiency testing and/or competency exercises:
	Exercise Description	Exercise Organizer	Collector Performance	If unacceptable, explain below	Column1	Awardee Name	Track	SPSC Other Responses
1						Select	SP-SC
2						Select	SP-SC
3						Select	SP-SC
4						Select	SP-SC
5						Select	SP-SC
6						Select	SP-SC
7						Select	SP-SC
8						Select	SP-SC
9						Select	SP-SC
10						Select	SP-SC
	SP-SC Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the SP-SC track please enter it below:

---

Sheet 13: SP-IT

	Grant Track:	SP-IT
	Reminder – only complete this tab if you were selected for participation in this track in this budget period. If you have highlights related to ORA DX work from a prior budget period in which you were selected for participation, that you are completing in this budget period, please use space provided in Tab “AllTracks"
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Budget Narrative
2	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
3	Equipment	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
4	Travel	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
5	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
6	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
7	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
8	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
9	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
10	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
11	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
12	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	SP-IT
17	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	SP-IT
20	Additional Budget Comments:
	SP-IT Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.
	Last Name, First Name	CAP Role (If an individual has more than one role for SP-IT they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	SP-IT
2							#N/A	Select	SP-IT
3							#N/A	Select	SP-IT
4							#N/A	Select	SP-IT
5							#N/A	Select	SP-IT
6							#N/A	Select	SP-IT
7							#N/A	Select	SP-IT
8							#N/A	Select	SP-IT
9							#N/A	Select	SP-IT
10							#N/A	Select	SP-IT
11							#N/A	Select	SP-IT
12							#N/A	Select	SP-IT
13							#N/A	Select	SP-IT
14							#N/A	Select	SP-IT
15							#N/A	Select	SP-IT
16							#N/A	Select	SP-IT
17							#N/A	Select	SP-IT
18							#N/A	Select	SP-IT
19							#N/A	Select	SP-IT
20							#N/A	Select	SP-IT
	SP-IT Training/Mentorship Administered (Mid-Year & Annual)
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	Training Other Responses
1				#N/A	Select	SP-IT
2				#N/A	Select	SP-IT
3				#N/A	Select	SP-IT
4				#N/A	Select	SP-IT
5				#N/A	Select	SP-IT
6				#N/A	Select	SP-IT
7				#N/A	Select	SP-IT
8				#N/A	Select	SP-IT
9				#N/A	Select	SP-IT
10				#N/A	Select	SP-IT
11				#N/A	Select	SP-IT
12				#N/A	Select	SP-IT
13				#N/A	Select	SP-IT
14				#N/A	Select	SP-IT
15				#N/A	Select	SP-IT
16				#N/A	Select	SP-IT
17				#N/A	Select	SP-IT
18				#N/A	Select	SP-IT
19				#N/A	Select	SP-IT
20				#N/A	Select	SP-IT
	SP-IT Training Needed (Mid-Year & Annual)
	Does your laboratory need SP-IT related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	SP-IT Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a SP-IT Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	ORA Data exchange (ORA DX) Adoption (Mid-Year & Annual)
	Are you participating in NSFDX?
	Are you participating in ORAPP?
	Are you participating in DX Client?
	Did you participate in an onboarding session and complete the FDA questionnaire for the overview of NFSDX, ORAPP, and DX?
	(NSFDX only) Have you entered into a Memorandum of Understanding (MOU) with FDA?
	(NSFDX only) Have you entered into an Interconnection Security Agreement (ISA) with FDA?
	Have you assessed the current IT capabilities of your laboratory as it pertains to sample collection and analytical data, including conducting an analysis of which fields can be mapped to FDA data elements, system changes needed to capture missing data, and any that would need to be developed?
	If not, when do you plan to complete this activity (MM/DD/YYYY)?
	Please list planned activities for adoption of ORA DX workflow and highlights, specific to this budget period:
	Activities	Description
1
2
3
4
5
6
7
8
9
10
	SP-IT Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the SP-IT track please enter it below:

---

Sheet 14: SP-MDV

Grant Track:

SP-MD/V

Reminder – only complete this tab if you are selected for this participation this track in this budget period. If you have accomplishments related to Method Development/Method Validation work from a prior budget period in which you were selected for participation, please use space provided in Tab “AllTracks"

Expenses

Total Budgeted

Expended to Date

Projected Expenses

OPEI

Awardee Name

Track

Budget Narrative

1

Total Salary, Wages, and Fringe Benefits

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

2

Equipment

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

3

Travel

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

4

Materials and Supplies

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

5

Publication Costs

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

6

Consultant Services

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

7

ADP/Computer Services

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

8

Subawards/Contractual Costs

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

9

Equipment/Facility Rental/User Fees

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

10

Federal F&A (Indirect Costs)

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

11

Other Costs

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

12

Total Budget

$0.00

$0.00

$0.00

#N/A

Select

SP-MD/V

13

Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)

$0.00

#N/A

Select

SP-MD/V

14

Additional Budget Comments:

SP-MD/V Key Personnel (Mid-Year & Annual)

The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.

Last Name, First Name

CAP Role (If an individual has more than one role for SP-MD/V they may be listed for each CAP funded role)

Email

Phone

Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)

Total expected CAP funded Calendar Months for this role

OPEI

Awardee Name

Track

1

#N/A

Select

SP-MD/V

2

#N/A

Select

SP-MD/V

3

#N/A

Select

SP-MD/V

4

#N/A

Select

SP-MD/V

5

#N/A

Select

SP-MD/V

6

#N/A

Select

SP-MD/V

7

#N/A

Select

SP-MD/V

8

#N/A

Select

SP-MD/V

9

#N/A

Select

SP-MD/V

10

#N/A

Select

SP-MD/V

11

#N/A

Select

SP-MD/V

12

#N/A

Select

SP-MD/V

13

#N/A

Select

SP-MD/V

14

#N/A

Select

SP-MD/V

15

#N/A

Select

SP-MD/V

16

#N/A

Select

SP-MD/V

17

#N/A

Select

SP-MD/V

18

#N/A

Select

SP-MD/V

19

#N/A

Select

SP-MD/V

20

#N/A

Select

SP-MD/V

Method Development and Method Validation Summary (Annual)

Intended Outcome(s) of this Project (mark yes for all that apply)

Name of MDV Project

Type of Project

If Type of Project is Other, Describe Below

Multi or Single Lab

New or Revised Method to be Submitted to FDA or FERN Methods Coordination Committee

In-house Implementation of the Method

Response/Emergency use to Support State or Local Regulatory Programs

What reference materials or known samples were used in this track to complete the MDV project

If the MDV Project is related to response/emergency activities describe below

OPEI

Awardee Name

Track

SPMDV Other Responses

1

#N/A

Select

SP-MD/V

2

#N/A

Select

SP-MD/V

3

#N/A

Select

SP-MD/V

Method Development and Method Validation Planned Activities and Highlights (Mid-Year & Annual)

Please list planned activities for this MDV project and highlights, specific to this budget period.

Activities

Description

1

2

3

4

5

6

7

8

9

10

SP-MD/V Track Additional Information (Mid-Year & Annual)

If there is any other information you would like to provide regarding your program within the SP-MD/V track please enter it below:

---

Sheet 15: SP-CoV2

	Grant Track:	SP-CoV2
	Expenses	Total Budgeted	Expended to Date	Projected Expenses	OPEI	Awardee Name	Track	Budget Narrative
1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
2	Equipment	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
3	Travel	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
4	Materials and Supplies	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
5	Publication Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
6	Consultant Services	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
7	ADP/Computer Services	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
8	Subawards/Contractual Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
11	Other Costs	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
12	Total Budget	$0.00	$0.00	$0.00	#N/A	Select	SP-CoV2
13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00			#N/A	Select	SP-CoV2
14	Additional Budget Comments:
	SP-CoV2 Key Personnel (Mid-Year & Annual)
	The following section will be used to update contact lists for this Track. Please include all personnel that work on this Track, even if they are not funded under the award.
	Last Name, First Name	CAP Role (If an individual has more than one role for SP-CoV2 they may be listed for each CAP funded role)	Email	Phone	Include this person on distribution list for this Track (receive emails, invite to FERNlab.org workgroup, meeting invites, etc.)	Total expected CAP funded Calendar Months for this role	OPEI	Awardee Name	Track
1							#N/A	Select	SP-CoV2
2							#N/A	Select	SP-CoV2
3							#N/A	Select	SP-CoV2
4							#N/A	Select	SP-CoV2
5							#N/A	Select	SP-CoV2
6							#N/A	Select	SP-CoV2
7							#N/A	Select	SP-CoV2
8							#N/A	Select	SP-CoV2
9							#N/A	Select	SP-CoV2
10							#N/A	Select	SP-CoV2
11							#N/A	Select	SP-CoV2
12							#N/A	Select	SP-CoV2
13							#N/A	Select	SP-CoV2
14							#N/A	Select	SP-CoV2
15							#N/A	Select	SP-CoV2
16							#N/A	Select	SP-CoV2
17							#N/A	Select	SP-CoV2
18							#N/A	Select	SP-CoV2
19							#N/A	Select	SP-CoV2
20							#N/A	Select	SP-CoV2
	SP-CoV2 Training/Mentorship Administered (Mid-Year & Annual)
	Describe Mentorship/Training Topic	Laboratories Mentored/Trained	Number of People Trained	OPEI	Awardee Name	Track	SPCoV2 Other Responses
1				#N/A	Select	SP-CoV2
2				#N/A	Select	SP-CoV2
3				#N/A	Select	SP-CoV2
4				#N/A	Select	SP-CoV2
5				#N/A	Select	SP-CoV2
6				#N/A	Select	SP-CoV2
7				#N/A	Select	SP-CoV2
8				#N/A	Select	SP-CoV2
9				#N/A	Select	SP-CoV2
10				#N/A	Select	SP-CoV2
11				#N/A	Select	SP-CoV2
12				#N/A	Select	SP-CoV2
13				#N/A	Select	SP-CoV2
14				#N/A	Select	SP-CoV2
15				#N/A	Select	SP-CoV2
16				#N/A	Select	SP-CoV2
17				#N/A	Select	SP-CoV2
18				#N/A	Select	SP-CoV2
19				#N/A	Select	SP-CoV2
20				#N/A	Select	SP-CoV2
	SP-CoV2 Training Needed (Mid-Year & Annual)
	Does your laboratory need SP-CoV2 related training?
	Describe training need:
1
2
3
4
5
6
7
8
9
10
	SP-CoV2 Mentorship Needed (Mid-Year & Annual)
	Are you in need of help finding a SP-CoV2 Mentor lab?
	Describe mentoring need			If you have a particular laboratory affiliated with this CAP you would like to assist you list them below:
1
2
3
4
5
6
7
8
9
10
	SP-CoV2 Proficiency Testing (Annual)
	Please fill in the requested information about proficiency testing and/or competency exercises. Only report PTs/Competency Exercises related to the work performed under this Track.
	PT/Exercise Description (Include analyte(s) and matrices)	PT/Exercise Provider	Laboratory Performance	If unacceptable, explain below	OPEI	Awardee Name	Track	PT Other Responses
1					#N/A	Select	SP-CoV2
2					#N/A	Select	SP-CoV2
3					#N/A	Select	SP-CoV2
4					#N/A	Select	SP-CoV2
5					#N/A	Select	SP-CoV2
6					#N/A	Select	SP-CoV2
7					#N/A	Select	SP-CoV2
8					#N/A	Select	SP-CoV2
9					#N/A	Select	SP-CoV2
10					#N/A	Select	SP-CoV2
	SP-CoV2 Track Additional Information (Mid-Year & Annual)
	If there is any other information you would like to provide regarding your program within the SP-CoV2 track please enter it below:

---

Sheet 16: Budget

		Grant Track:	All LFFM Tracks
		Expenses	Total Budgeted	Expended to Date	Total Projected Expenses
	1	Total Salary, Wages, and Fringe Benefits	$0.00	$0.00	$0.00
	2	Equipment	$0.00	$0.00	$0.00
	3	Travel	$0.00	$0.00	$0.00
	4	Materials and Supplies	$0.00	$0.00	$0.00
	5	Publication Costs	$0.00	$0.00	$0.00
	6	Consultant Services	$0.00	$0.00	$0.00
	7	ADP/Computer Services	$0.00	$0.00	$0.00
	8	Subawards/Contractual Costs	$0.00	$0.00	$0.00
	9	Equipment/Facility Rental/User Fees	$0.00	$0.00	$0.00
	10	Federal F&A (Indirect Costs)	$0.00	$0.00	$0.00
	11	Other Costs	$0.00	$0.00	$0.00
	12	Total Budget	$0.00	$0.00	$0.00
	13	Estimated unobligated funds (at RPPR submission, this value will be used to determine your offset for next year)	$0.00
	14	Additional Budget Comments M-HF:	0
		Additional Budget Comments M-AF:	0
		Additional Budget Comments M-FD:	0
		Additional Budget Comments M-WGS:	0
		Additional Budget Comments M-CC:	0
		Additional Budget Comments C-HF:	0
		Additional Budget Comments C-AF:	0
		Additional Budget Comments C-FD:	0
		Additional Budget Comments R-FD:	0
		Additional Budget Comments SP-SC:	0
		Additional Budget Comments SP-IT:	0
		Additional Budget Comments SP-MDV:	0
		Additional Budget Comments SP-CoV2:	0