REPORTING: Funded Projects Pilot; Developing Standardized Forms
Pilot to Develop Standardized Reporting Forms for Federally Funded Public Health Projects and Agreements
General Program Report.xlsx
REPORTING: Funded Projects Pilot; Developing Standardized Forms
OMB: 0910-0909
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0910-0909 can be found here:
Document [xlsx]
Download: xlsx | pdf
ProgressNarrative (Format 1)
ProgressNarrative (Format 2)
FOAReqs
AddlQuestions
Personnel
Budget
Performance Elements
Overview
CoversheetProgressNarrative (Format 1)
ProgressNarrative (Format 2)
FOAReqs
AddlQuestions
Personnel
Budget
Performance Elements
Sheet 1: Coversheet
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| Recipient Name | ||||||||
| Federal Award Identification Number | ||||||||
| Report | Initial Report | 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 | ||||||||
Sheet 2: ProgressNarrative (Format 1)
| Fiscal Year: | FY23 | |||||||||||||||||||||||||||||||||||||||||
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | Performance Elements | Column1 | Column2 | Column3 | Column4 | Column5 | Column6 | Column7 | Column8 | Column9 | Column10 | Column11 | Column12 | Column13 | Column14 | Column15 | Column16 | Column17 | Column18 | |||||||||||||||||||||
| IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | |||||||||||||||||||||||||||||||||||||||||
| Action Item 1: | Action Item 1: | Action Item 1: | Action Item 1: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] | 
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 2: | Action Item 2: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 2: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 2: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 3: | Action Item 3: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 3: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 3: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 4: | Action Item 4: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 4: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 4: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 5: | Action Item 5: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 5: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 5: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 6: | Action Item 6: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 6: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 6: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 7: | Action Item 7: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 7: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 7: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 8: | Action Item 8: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 8: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 8: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 9: | Action Item 9: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 9: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 9: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 10: | Action Item 10: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 10: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 10: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 11: | Action Item 11: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 11: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 11: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 12: | Action Item 12: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 12: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 12: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 13: | Action Item 13: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 13: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 13: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 14: | Action Item 14: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 14: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 14: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 15: | Action Item 15: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 15: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 15: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 16: | Action Item 16: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 16: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 16: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 17: | Action Item 17: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 17: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 17: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 18: | Action Item 18: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 18: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 18: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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|
|
||||||||||||||||||||||||||||||||||||||||||
| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 19: | Action Item 19: | IF changes are made to the performance element impacts for this action item (in the table to the right) please explain below. Otherwise leave blank. | Action Item 19: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 19: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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|
|
||||||||||||||||||||||||||||||||||||||||||
| Initial Report Response | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 20: | Action Item 20: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 20: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 20: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Planned Start Date | Actual Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Initial Report | |||||||||||||||||||||||||||||||||||
| Planned End Date | Actual End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | |||||||||||||||||||||||||||||||||||
| Planned Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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| Action Item 21: | ||||||||||||||||||||||||||||||||||||||||||
| New Action Approved by (Enter FDA Approver) | Date Approved | Did new action require a budget change? | Select | If yes, was the change JAG approved? | Select | Enter JAG Approver | ||||||||||||||||||||||||||||||||||||
| At time of Approval | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 21: | Action Item 21: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 21: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 21: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Approval | ||||||||||||||||||||||||||||||||||||
| Planned End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | ||||||||||||||||||||||||||||||||||||
| Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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|
|
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| Action Item 22: | ||||||||||||||||||||||||||||||||||||||||||
| New Action Approved by (Enter FDA Approver) | Date Approved | Did new action require a budget change? | Select | If yes, was the change JAG approved? | Select | Enter JAG Approver | ||||||||||||||||||||||||||||||||||||
| At time of Approval | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 22: | Action Item 22: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 22: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 22: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Approval | ||||||||||||||||||||||||||||||||||||
| Planned End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | ||||||||||||||||||||||||||||||||||||
| Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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|
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| Action Item 23: | ||||||||||||||||||||||||||||||||||||||||||
| New Action Approved by (Enter FDA Approver) | Date Approved | Did new action require a budget change? | Select | If yes, was the change JAG approved? | Select | Enter JAG Approver | ||||||||||||||||||||||||||||||||||||
| At time of Approval | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 23: | Action Item 23: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 23: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 23: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Approval | ||||||||||||||||||||||||||||||||||||
| Planned End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | ||||||||||||||||||||||||||||||||||||
| Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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|
|
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| Action Item 24: | ||||||||||||||||||||||||||||||||||||||||||
| New Action Approved by (Enter FDA Approver) | Date Approved | Did new action require a budget change? | Select | If yes, was the change JAG approved? | Select | Enter JAG Approver | ||||||||||||||||||||||||||||||||||||
| At time of Approval | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 24: | Action Item 24: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 24: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 24: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Approval | ||||||||||||||||||||||||||||||||||||
| Planned End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | ||||||||||||||||||||||||||||||||||||
| Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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|
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| Action Item 25: | ||||||||||||||||||||||||||||||||||||||||||
| New Action Approved by (Enter FDA Approver) | Date Approved | Did new action require a budget change? | Select | If yes, was the change JAG approved? | Select | Enter JAG Approver | ||||||||||||||||||||||||||||||||||||
| At time of Approval | Mid-Year Report Response | Annual Report Response | ||||||||||||||||||||||||||||||||||||||||
| Action Item 25: | Action Item 25: | IF changes are made to the performance element impacts for this action item (in the table to the far right) please explain below. Otherwise leave blank. | Action Item 25: | IF changes are made to the performance element impacts (in the table to the right) for this action item please explain below. Otherwise leave blank. | Action Item 25: | Objective 1 | Objective 2 | Objective 3 | Objective 4 | Objective 5 | Activity 1 | Activity 2 | Activity 3 | Activity 4 | Activity 5 | Activity 6 | Activity 7 | Activity 8 | Activity 9 | Activity 10 | Activity 11 | Activity 12 | Activity 13 | |||||||||||||||||||
| Start Date | Action Item Status | Select | Actual Start Date | Action Item Status | Select | Impacts at Approval | ||||||||||||||||||||||||||||||||||||
| Planned End Date | Action Item Percent Complete | Select | Actual End Date | Action Item Percent Complete | Select | Impacts at Mid-Year Report | ||||||||||||||||||||||||||||||||||||
| Action Item Short Description | Mid-Year Progress Report (Use Alt+Enter for new line if desired) | Annual Progress Report (Use Alt+Enter for Actual line if desired) | Impacts at Annual Report | |||||||||||||||||||||||||||||||||||||||
| [If this Plan of Action was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response Section. Otherwise, complete the Annual Report Response section and replace this bracketed text with your Progress Report] |
|
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| Objective Descriptions | Objective 1. Develop and implement a system to administer financial assistance to State, local, territorial and tribal retail regulatory food programs based on the FDA Retail Flexible Funding Model (RFFM). | Objective 2. Develop and implement a standardized method to assess training needs of retail food regulatory jurisdictions and facilitate meetings those needs. | Objective 3. Develop and implement a tracking system that quantifies the extent of Standardization of regulatory food safety inspections personnel within, and among, regulatory retail food jurisdictions. | |||||||||||||||||||||||||||||||||||||||
|
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Sheet 3: ProgressNarrative (Format 2)
|
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|
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| Grant Track (select): | ||||||||||||||||||||||||
| Budget Period (select): | ||||||||||||||||||||||||
| Mid-Year and Annual Reports | ||||||||||||||||||||||||
| Detailed Progress Report on the Recipient meeting the project objectives/activities/milestones/outcomes detailed in the cooperative agreement, proposal, strategic plan, conditions of the award, etc. Enter your Mid-Year information for each performance element on the yellow rows. Provide any updates for your Annual Report in the light blue fields on the brown marked rows provided. Note: This form is intended to capture your progress narrative. You do not need to include details that will be documented with your other Mid-Year submissions e.g. a required Stategic Improvement Plan. Please include a reference to the applicable document when appropriate. |
Select Yes in the table below if this narrative includes progress for one or more of the regulatory program standards if applicable: | |||||||||||||||||||||||
| Performance Elements |
Recipient Self-Reported Status (Select) | Recipient Estimated Percent Complete (Select) |
Progress Narrative (Use Alt+Enter for new line if desired) |
Deliverables (Use Alt+Enter for new line if desired) |
Meetings/Activities (Use Alt+Enter for new line if desired) |
Standard 1 | Standard 2 | Standard 3 | Standard 4 | Standard 5 | Standard 6 | Standard 7 | Standard 8 | Standard 9 | Standard 10 | |||||||||
| Objective 1 | Select | Select | ||||||||||||||||||||||
| Objective 1 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Objective 2 | Select | Select | ||||||||||||||||||||||
| Objective 2 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Objective 3 | Select | Select | ||||||||||||||||||||||
| Objective 3 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Objective 4 | Select | Select | ||||||||||||||||||||||
| Objective 4 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Objective 5 | Select | Select | ||||||||||||||||||||||
| Objective 5 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 1 | Select | Select | ||||||||||||||||||||||
| Activity 1 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 2 | Select | Select | ||||||||||||||||||||||
| Activity 2 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 3 | Select | Select | ||||||||||||||||||||||
| Activity 3 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 4 | Select | Select | ||||||||||||||||||||||
| Activity 4 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 5 | Select | Select | ||||||||||||||||||||||
| Activity 5 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 6 | Select | Select | ||||||||||||||||||||||
| Activity 6 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 7 | Select | Select | ||||||||||||||||||||||
| Activity 7 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 8 | Select | Select | ||||||||||||||||||||||
| Activity 8 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 9 | Select | Select | ||||||||||||||||||||||
| Activity 9 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 10 | Select | Select | ||||||||||||||||||||||
| Activity 10 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 11 | Select | Select | ||||||||||||||||||||||
| Activity 11 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 12 | Select | Select | ||||||||||||||||||||||
| Activity 12 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| Activity 13 | Select | Select | ||||||||||||||||||||||
| Activity 13 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
|
||||||||||||||||||||||||
| Mid-Year and Annual Reports | ||||||||||||||||||||||||
| Provide at least one goal for your program for this budget period. Your Mid-Year Report rows are marked with yellow and any updates for your Annual Report in the light blue fields on the rows marked with brown provided. | Select Yes in the table below if this narrative includes progress for one or more of the regulatory program standards if applicable: | |||||||||||||||||||||||
| State Programmatic Goals for this track | Recipient Self-Reported Status (Select) |
Recipient Estimated Percent Complete (Select) |
Progress Narrative (Use Alt+Enter for new line if desired) |
Deliverables (Use Alt+Enter for new line if desired) |
Meetings/Activities (Use Alt+Enter for new line if desired) |
Standard 1 | Standard 2 | Standard 3 | Standard 4 | Standard 5 | Standard 6 | Standard 7 | Standard 8 | Standard 9 | Standard 10 | |||||||||
| State Goal 1 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 1 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 2 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 2 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 3 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 3 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 4 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 4 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 5 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 5 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 6 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 6 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 7 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 7 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 8 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 8 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 9 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 9 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
| State Goal 10 | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| State Goal 10 | Annual Report Updates: | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
|
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| Mid-Year and Annual Reports | ||||||||||||||||||||||||
| Special Project Report (DO NOT complete this section if a Special Project was not included as part of your award) Note: the end of project report requires additional information, as described in the NOA, to be attached as a supplemental narrative to your submission. | Select Yes in the table below if this narrative includes progress for one or more of the regulatory program standards if applicable: | |||||||||||||||||||||||
| Special Project Goals | Recipient Self-Reported Status (Select) |
Recipient Estimated Percent Complete (Select) |
Progress Narrative (Use Alt+Enter for new line if desired) |
Deliverables (Use Alt+Enter for new line if desired) |
Meetings/Activities (Use Alt+Enter for new line if desired) |
Standard 1 | Standard 2 | Standard 3 | Standard 4 | Standard 5 | Standard 6 | Standard 7 | Standard 8 | Standard 9 | Standard 10 | |||||||||
| Special Project | [Replace bracketed text with your response] | Select | Select | |||||||||||||||||||||
| Annual Report Updates (If Applicable) | [Replace bracketed text with your response] | Select | Select | [If this Performance Element was reported as complete at your Mid-Year Report and no additional updates are needed please skip the Annual Report Response row. Otherwise, complete the Annual Report Response rowand replace this bracketed text with your Progress Report] | ||||||||||||||||||||
Sheet 4: FOAReqs
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| Mid-Year Program Response | 
|
Annual Program Response | |||||||||||||||||||||||
| Agreement Specific Requirements - Provide a reference to the applicable action item(s) from the progress narrative page or accompanying data file that addresses the requirement OR enter the requested information in the field(s) provided below. | Agreement Specific Requirements - Provide a reference to the applicable action item(s) from the progress narrative page or accompanying data file that addresses the requirement OR enter the requested information in the field(s) provided below. | ||||||||||||||||||||||||
| Estimated total of in-kind budget contributions toward accomplishing the goals of the cooperative agreement during the reporting period: | $0.00 | Estimated total of in-kind budget contributions toward accomplishing the goals of the cooperative agreement during the reporting period: | $0.00 | ||||||||||||||||||||||
| Estimated in-kind budget contribution narrative: | Estimated in-kind budget contribution narrative: | ||||||||||||||||||||||||
| Status Report on the purchasing, development, and operational readiness of any equipment, computers, or software purchased. | Status Report on the purchasing, development, and operational readiness of any equipment, computers, or software purchased. | ||||||||||||||||||||||||
| How many Full Time Employees (or FTE Equivalent) are currently employed in your state program to routinely conduct manufactured food inspections and related operations? | How many Full Time Employees (or FTE Equivalent) are currently employed in your state program to routinely conduct manufactured food inspections and related operations? | ||||||||||||||||||||||||
| Comments on FTEs currently employed in your state program to routinely conduct manufactured food inspectors and related operations: | Comments on FTEs currently employed in your state program to routinely conduct manufactured food inspectors and related operations: | ||||||||||||||||||||||||
| Provide a status report on the hiring and training of cooperative agreement funded personnel and other manufactured food program personnel: | Provide a status report on the hiring and training of cooperative agreement funded personnel and other manufactured food program personnel: | ||||||||||||||||||||||||
| Key personnel (minimum of two) must attend an annual face-to-face meeting (as determined by the FDA OP) as a condition of the award. Select Yes or No if this requirement has been met as of the date of this report and provide a narrative, if desired, below. |
Select | Key personnel (minimum of two) must attend an annual face-to-face meeting (as determined by the FDA OP) as a condition of the award. Select Yes or No if this requirement has been met as of the date of this report and provide a narrative, if desired, below. |
Select | ||||||||||||||||||||||
| Pending issues or concerns that may affect accomplishing the objectives and goals of the cooperative agreement, and proposed solutions: | Pending issues or concerns that may affect accomplishing the objectives and goals of the cooperative agreement, and proposed solutions: | ||||||||||||||||||||||||
| Meetings | 
|
Meetings | |||||||||||||||||||||||
| List meetings held, participants, summaries of issues discussed, decisions made, action items, and responsible parties. | List meetings held, participants, summaries of issues discussed, decisions made, action items, and responsible parties. Note: it is only necessary to report activities that have occurred since the previous report submission. |
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| Meeting title or short description | Date (M/D/YYYY) | Agenda Filename Reference | Meeting Outcomes | Evaluation Results | How will the feedback received be used to improve future meetings? | Meeting title or short description | Date (M/D/YYYY) | Agenda Filename Reference | Meeting Outcomes | Evaluation Results | How will the feedback received be used to improve future meetings? | ||||||||||||||
| 1 | |||||||||||||||||||||||||
| 2 | |||||||||||||||||||||||||
| 3 | |||||||||||||||||||||||||
| 4 | |||||||||||||||||||||||||
| 5 | |||||||||||||||||||||||||
| 6 | |||||||||||||||||||||||||
| 7 | |||||||||||||||||||||||||
| 8 | |||||||||||||||||||||||||
| 9 | |||||||||||||||||||||||||
| 10 | |||||||||||||||||||||||||
| 11 | |||||||||||||||||||||||||
| 12 | |||||||||||||||||||||||||
| 13 | |||||||||||||||||||||||||
| 14 | |||||||||||||||||||||||||
| 15 | |||||||||||||||||||||||||
| 16 | |||||||||||||||||||||||||
| 17 | |||||||||||||||||||||||||
| 18 | |||||||||||||||||||||||||
| 19 | |||||||||||||||||||||||||
| 20 | |||||||||||||||||||||||||
| Training Received Mid-Year | Training Received Annual) | ||||||||||||||||||||||||
| Note: it is only necessary to report activities that have occurred since the previous report submission. | Note: it is only necessary to report activities that have occurred since the previous report submission. | ||||||||||||||||||||||||
| Training Title | Training Provider | Number of People Trained | Track(s) this Training Supported | Training Title | Training Provider | Number of People Trained | Track(s) this Training Supported | ||||||||||||||||||
| (Optional) Anything else you would like to report related to your project that is not reported elsewhere on this form: | (Optional) Anything else you would like to report related to your project that is not reported elsewhere on this form: | ||||||||||||||||||||||||
Sheet 5: AddlQuestions
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| Mid-Year Progress Response | 
|
Annual Progress Response | |||||||||||||||
| Public Heath Impacts | Public Heath Impacts | ||||||||||||||||
|
|
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| Please describe the public health impact of your activities under this cooperative agreement. | Please describe the public health impact of your activities under this cooperative agreement. | ||||||||||||||||
| Please describe how your activities have facilitated long-term improvements to the national food safety system under this cooperative agreement. | Please describe how your activities have facilitated long-term improvements to the national food safety system under this cooperative agreement. | ||||||||||||||||
|
|
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| Please describe any other relevant outcomes not reported elsewhere (e.g. your interpretation of project results). | Please describe any other relevant outcomes not reported elsewhere (e.g. your interpretation of project results). | ||||||||||||||||
|
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Sheet 6: Personnel
|
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| Mid-Year Personnel Report | Annual Personnel Report | |||||||||||||||||
| Select appropriate response: | Select | Name | Title | Project Role | Months Funded | Personnel Changes | Explanation | OPEI | Entity Name | Standard Name | FY | |||||||
| Name (last name, first name) |
Title | Project Role | Months Funded (# calendar mos) |
Personnel Changes? | Personnel Changes Response
|
|||||||||||||
| 1 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 2 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 3 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 4 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 5 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 6 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 7 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 8 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 9 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 10 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 11 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 12 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 13 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 14 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 15 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 16 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 17 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 18 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 19 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 20 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 21 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 22 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 23 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 24 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 25 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 26 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 27 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 28 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 29 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 30 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 31 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 32 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 33 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 34 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| 35 | Select | 0 | 0 | 0 | 0.00 | Select | 0 | 76 | NEHA | NEHA | FY23 | |||||||
| *If adding or removing personnel please update their name, title, project role, and months funded as applicable. | ||||||||||||||||||
Sheet 7: Budget
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| Mid-Year and Annual Budget Report | |||||||||||||||||||||||||||||
| *Note: Annual Total Budgeted is pre-set equal to Mid-Year Total budgeted and Mid-Year and Annual Projected expenses are pre-set as calculated using the Total Budgeted minus Expended. These formulas should be cleared and actual numbers entered if different. | |||||||||||||||||||||||||||||
| Expenses | Mid-Year Total Budgeted | Annual Total Budgeted* | Mid-Year Expended to Date | Annual Expended to Date | Mid-Year Projected Expenses* | Annual Projected Expenses* | Budget Questions | MY Budget Numerical Responses | Annual Budget Numerical Responses | MY Budget Text Responses | Annual Budget Text Responses | Expenses | MY Total Budgeted | Annual Total Budgeted | MY Expended to Date | Annual Expended to Date | My Projected Expenses | Annual Projected Expenses | Standard Name | FY | OPEI | Entity Name | |||||||
| 1 | Total Salary, Wages, and Fringe Benefits | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||||||||||||||||||
| 2 | Equipment | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Total Budget: Total Budgeted | $0.00 | $0.00 | Total Salary, Wages, and Fringe Benefits | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 3 | Travel | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Total Budget: Expended to Date | $0.00 | $0.00 | Equipment | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 4 | Materials and Supplies | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Total Budget: Total Projected Expenses | $0.00 | $0.00 | Travel | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 5 | Publication Costs | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Estimated current obligated funds | $0.00 | $0.00 | Materials and Supplies | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 6 | Consultant Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Carryover I will be requesting | $0.00 | $0.00 | Publication Costs | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 7 | ADP/Computer Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | New funding request | $0.00 | $0.00 | Consultant Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 8 | Subawards/Contractual Costs | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Total Requested for next budget period | $0.00 | $0.00 | ADP/Computer Services | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 9 | Equipment/Facility Rental/User Fees | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Additional Budget Comments: | 0 | 0 | Subawards/Contractual Costs | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | ||||||||
| 10 | Federal F&A (Indirect Costs) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Equipment/Facility Rental/User Fees | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | |||||||||||
| 11 | Other 1 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Federal F&A (Indirect Costs) | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | |||||||||||
| 12 | Other 2 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Other 1 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | |||||||||||
| 13 | Other 3 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Other 2 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | |||||||||||
| 14 | Other 4 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Other 3 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | |||||||||||
| 15 | Total Budget | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | Other 4 [Replace only bracketed text] | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | NEHA | FY23 | 76 | NEHA | |||||||||||
| 16 | Estimated current obligated funds | $0.00 | $0.00 | ||||||||||||||||||||||||||
| 17 | Carryover I will be requesting | $0.00 | $0.00 | ||||||||||||||||||||||||||
| 18 | New funding request | $0.00 | $0.00 | ||||||||||||||||||||||||||
| 19 | Total Requested for next budget period | $0.00 | $0.00 | ||||||||||||||||||||||||||
| Mid-Year Report Comments | Annual Report Comments | ||||||||||||||||||||||||||||
| 20 | Additional Budget Comments:
|
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Sheet 8: Performance Elements
|
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| Primary Outcomes - Objectives | ||
| Objective 1. | ||
| Objective 2. | ||
| Objective 3. | ||
| Objective 4. | ||
| Objective 5. | ||
| Secondary Sub-Outcomes - Activities | ||
| Activity 1. | ||
| Activity 2. | ||
| Activity 3. | ||
| Activity 4. | ||
| Activity 5. | ||
| Activity 6. | ||
| Activity 7. | ||
| Activity 8. | ||
| Activity 9. | ||
| Activity 10. | ||
| Activity 11. | ||
| Activity 12. | ||
| Activity 13. | ||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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