Challenge - Quarterly Reports

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Overview

Overview
1 - Admin. Quarterly Report

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Sheet 1: Overview

Challenge Pilot
Administrator's Quarterly Report Instructions
Included in this spreadsheet is:
Tab 1. Administrator's Quarterly Report
To access this document, please click on the tab at the bottom of this form.
The Challenge Pilot Administrator must prepare the Administrator's Quarterly Report
only if there have been significant changes to any of its participant sites. The following
are examples of changes that would require the completion of a Quarterly Report:
	1) Changes in Administrator or Participant contact information
	2) The addition of new participants into the Pilot
	3) Participants removing themselves from the Pilot.
The Administrator's Quarterly Report is due according to the following schedule:
Quarter	Months Covered			Type of Report Due				Due Date
1st	January - March			Quarterly if changes				April 15
2nd	April - June			Quarterly if changes, plus OCTPS				July 15
3rd	July - September			Quarterly if changes				October 15
4th	October - December			Annual, plus OCTPS				February 15
The Administrator must also prepare an Annual Report at the end of the year (due February 15th
each year). This report summarizes the Challenge sites' progress throughout the course
of the year. Please refer to the Challenge Pilot Administrator's Annual Report Spreadsheet
for instructions on preparing this report.
The OSHA Challenge - Tracking Participant Status (OCTPS) form for each Challenge
Pilot Participant is due every six months -- to be submitted by July 15th each year (with the
Administrator's Quarterly Report, if one is prepared) and at the end of the year (due Feburary
15th) along with the Annual Report.
The Quarterly report should be submitted to:
	Challenge Pilot Program Coordinator
	Directorate of Cooperative and State Programs
	Occupational Safety and Health Administration, Room N3700
	U.S. Department of Labor
	200 Constitution Ave., NW
	Washington, DC 20210
As an option, you may submit your Quarterly Reports electronically to:
[email protected].

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Sheet 2: 1 - Admin. Quarterly Report

Challenge Pilot

Administrator's Quarterly Report

Administrator Name

Report Period

[Fill in Administrator Name Here]

Quarter

Q1

Year

2008

Section 1. Administrator Information Update

(If there were any changes)

Name

Site Address

Section 2. Administrator Contact Information Update

(If there were any changes)

Administrator Contact Name

Administrator Contact Title

Administrator Contact Phone Number

Administrator Contact Fax Number

Administrator Contact E-mail Address

Section 3. Coordinator Contact Information Update

(If there were any changes)

Coordinator Contact Name

Coordinator Contact Title

Coordinator Contact Phone Number

Coordinator Contact Fax Number

Coordinator Contact E-mail Address

Section 4. Candidate Information Update

Please list any Candidates who have dropped out or have been added since the last progress report. You must submit a Candidate Information Package for all new Candidates.

Form Approved OMB# 1218 – 0239 Expired xx-xx-xxxx Public reporting burden for this collection of information is voluntary and is estimated to average 5 hours per response, including the time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection other aspect of this collection of information, including suggestions for reducing this burden to the Office of Partnerships and Recognition, Department of Labor, Room N-3700, 200 Constitution Avenue, N.W., Washington, DC 20210.