2511.01 Attachment F (Wisconsin)

NOT YET APPROVED UNDER THE PAPERWORK REDUCTION ACT
FIFRA Cooperative Agreement Work Plan and Report

08/20/14

Data entry in white boxes only. Asterik denotes a required field.
       Grantee Information:

              Cooperative Agreement Information:

*Name:

1)

*Agreement Type:

3)

*Grantee:

2)

*Number of Years:

4)

Start

Narrative
Budget 
Work Plan/Report
Outcomes

5)

*Work Plan and Report Applies to: 

6)

5700 Main
5700 Worker Protection
5700 Container Containment
Performance Measures             
Endangered Species

Date:
7)

8)

Extended to: 

*Project Period: 

 Worksheets:

Work Plan/Report Status:

Examples of Standard Reports:

My Reports:

Midyear/End of Year Status
Program Area Report
Significant Issue/Innovative Activities
Activity Type Report
EPA Recommendations 

Report 1

References:

My References:

Reporting Links:
Certification and Training ‐ CPARD
Pesticides in Water ‐ POINTS

EPA Grant Forms List
Template Instructions/Help 
Grant Guidance
Version 1.0
OMB Control No. 2070-NEW
Approval expires XX/XX/XX

Name: John Doe

 Region Plan Mission

Narrative 

 Period:2012   2011‐2013

(double click Office Document to add content, or delete and insert your own by going to Insert> Object on th
Examples:    Authority to Accept Cooperative Agreement, Legislative Changes, QAPPs, Neutral Admin. Inspection schem

Microsoft Office
Word Document

WISCONSIN DEPARTMENT OF AGRICULTURE,
TRADE AND CONSUMER PROTECTION
FY 2015 PRIORITY #1
FOR SUPPLEMENTAL FUNDS
REGION 5 STATE LABORATORY SUPPORT FOR
CHECK SAMPLE PROGRAM PARTICIPATION
The Bureau of Laboratory Services of the Wisconsin Department of Agriculture,
Trade and Consumer Protection is maintaining a sustainable national check
sample program for State and Tribal pesticide laboratories. It is assumed the
program will be sustainable via annual subscription fees. The subscription fee
for 2015 is $1,100 to each laboratory participating in the program.
The Bureau of Laboratory Services is requesting support to cover the cost of the
2015 subscription fee for five state pesticide laboratories in EPA Region 5.
Rather than have the Bureau of Laboratory Services invoice each of the five labs
individually, the grant proposal is to have one grant of $5,500 made to the WI
laboratory. Because WI has no mechanism to collect a state match from the
other state laboratories, there is no state match in this proposal.
The total grant request is $5,500.
FTE Salary
LTE Salary
Total Salary

$
$
$

-

FTE Fringe (44.44%)
LTE Fringe (7.65%)
Total Fringe

$
$

-

Subscription Fee

$

5,500

Total Direct

$

5,500
5,500
5,500
-

State
Federal
Federal Direct
Indirect (14.76%)

$
$
$

Total Federal
Total State

$
TOTAL

$

5,500
5,500

(Revised 6/12/14)

Page 1 of 2

Printed 8/5/2014 

Name: John Doe

 Region Plan Mission

 Period:2012   2011‐2013

Use this space to insert or attach your budget detail.  
(insert your own by going to Insert> (Text)Object on the menu above)

In accordance with Grants Policy Issuance (GPI) 12‐06, EPA regional offices and applicants will negotiate a reasonable strategy for the outlay of funds con
and national and regional guidances. The agreed‐upon outlay strategy should be reflected in the work plan. Regional offices may use the outlay rate inf
D and E of the SF424A as a basis for the required strategy, provided they determine it will promote accelerated outlays to the maximum extent practicab

Page 1 of 4

Printed 8/5/2014 

Program Area

NPM

Basic Pesticide
Program

OPP
OECA

Basic Pesticide
Program

OPP
OECA

Basic Pesticide
Program

OPP
OECA

Basic Pesticide
Program

OPP

Basic Pesticide
Program

OPP

Basic Pesticide
Program

OECA

Basic Pesticide
Program
Basic Pesticide
Program

OECA

Activity #

 '15 ‐ '17 Grant Guidance Activity 

Activity 
Type

Basic Pesticide
Program

OECA

Basic Pesticide
Program

OECA

Basic Pesticide
Program

OECA

Basic Pesticide
Program
Basic Pesticide
Program

OECA

Basic Pesticide
Program

OECA

Basic Pesticide
Program

OECA

Basic Pesticide
Program

OECA

Basic Pesticide
Program

OECA

OECA

Status

Describe Work Plan Activity Accomplishment    
(include any issues or innovations, ifappropriate)

Significant 
Issues/ 
Innovations

Required

Acknowledged

9/30/2015

None

Required

Ongoing

None

&

Required

Attend national training as opportunities 
present themselves. In‐house staff training 
occurs for all programs areas throughout the 
year and staff attend industry sponsored 
training as appropriate. 
routinely respond to complaints or inquires as 
received. 
Part of routine program activities. Anticipating 
activities associated with WPS rule revisions.

Ongoing

None

Ongoing

None

As appropriate.

Ongoing

None

Respond to pesticide inquiries, concerns, tips, and
01.00.03.0 complaints from the public.

Required
Provide outreach, communication, and training as
01.01.01.0 appropriate as a result of new emerging issues, rules,
regulations, and registration and registration review
decisions.
Report information on all known or suspected pesticide
Required
01.01.02.0 incidents involving pollinators to OPP ([email protected])
with a copy to the regional office.
Project inspection numbers and report various inspection Required
and enforcement accomplishments. The 5700 forms, ES
Inspections Report, and performance measures (when
final) forms contained in the FIFRA template may be used
01.02.01.0 for this purpose.

01.02.02.0

Maintain adequate pesticide laws, rules, and associated
implementation procedures.
Provide outreach and compliance assistance.

MY and
 Acknowledged. Will report on 5700 forms. 
EOY
Program commits to complete 10 PEI and 17 
federal marketplace inspections. We will not 
hold one inspection for an import inspection, 
since we have not been assigned one for many 
years. Instead, we will negotiate with Region 5 if 
an import inspection is requested.

None

Required

Part of routine program activities.

None

Required

9/30/2015
bureau office staff and field staff routinely 
provide outreach by participating at trade  
shows and speaking at grower meetings, 
relevant professional assocaiton seminars, 
individual firms, etc.    
Program areas review priorities for inspections  MY and
EOY
and outreach on an annual basis as part of 
workplanning.

01.02.03.0

OECA

Due Date

Complete administrative/management, fiduciary and
01.00.01.0 reporting requirements associated with this cooperative
agreement.
&
Build or maintain staff and management expertise on
pesticide program issues and enforcement (e.g. attend
01.00.02.0 training opportunities through PREP, PIRT, in-service
training, etc. or other appropriate activities).

&

OECA

Basic Pesticide
Program

Work Plan Activity Description (Outputs)

Draft, modify, or maintain a priority setting plan for
Required
inspections & investigations, addressing grantee and EPA01.02.04.0 identified priorities (see Appendix 4, Enforcement Priority
Setting Guidance; to be replaced by Compliance
Monitoring Strategy when finalized).
During use inspections, monitor compliance with the label, Required
including any ESA bulletins, if applicable.
01.02.05.0

Ongoing

None

None

Activity included as part of each ag‐use 
observation. ESA review is conducted for 
observations involving products with bulletins.

9/30/2015

None

Develop/maintain a searchable inspection/investigation
01.02.06.0 and case tracking system and track all
inspections/investigations and cases.
Ensure a minimum of one state employee obtains and
maintains an EPA inspector’s credential. Where state
01.02.07.0 authority is inappropriate or inadequate, or at EPA's
request, conduct FIFRA inspections with EPA credentials,
according to EPA procedures and guidance documents.

Required

DATCP's case tracking system is utilized to 
perform these tasks

9/30/2015

None

Required

DATCP currently has 7 EPA credentialed EES 
staff.  5 other EES field staff have begun the 
necessary trianing to obtain their credentials.  

9/30/2015

None

Refer all inspections conducted with federal credentials to
the region.
Refer FIFRA cases to the region for enforcement
01.02.09.0 consideration according to a mutually identified referral
priority scheme.
Maintain and follow a matrix to develop and issue
01.02.10.0 enforcement actions.

Required

Acknowledged

9/30/2015

None

Required

As appropriate.

Ongoing

None

Required

DATCP continues to develop and implement its  9/30/2015
uniform enformcement guide.

None

Required

Acknowledged. 

9/30/2015

None

Required

Acknowledged ‐ Typically handled on a case by  9/30/2015
case basis in consultation with appropriate 
regional staff.

None

Required

Acknowledged

None

01.02.08.0

Follow up on significant or grantee and region agreed
01.02.11.0 upon pesticide incidents referred by EPA as required by
FIFRA Sections 26 and 27.
Conduct inspections consistent with the FIFRA Inspection
01.02.12.0 Manual including collection of the appropriate amount of
sale and distribution records as discussed in Chapter 6
"Product Sampling".
Maintain and follow a Quality Management Plan for the
01.02.13.0
overall pesticide enforcement program.

9/30/2015

Program Area

NPM

Activity #

 '15 ‐ '17 Grant Guidance Activity 

Activity 
Type

Basic Pesticide
Program

OECA

Maintain and follow Quality Assurance Project Plan(s) for
01.02.14.0 pesticide sample collection and analysis.

Required

Basic Pesticide
Program
Basic Pesticide
Program

OECA
OECA

Maintain access to adequate laboratory support capacity.

Required

Assist EPA in enforcing regulatory actions and monitoring
01.02.16.0 Section 18, Section 24(c), and Experimental Use Permits.

Required

Worker Safety:
Worker Protection
Standard

OPP

Implement Part 170 worker protection standard (WPS) rule Required
02.01.01.0 requirements and carry out program implementation
requirements.

Worker Safety:
Worker Protection
Standard

OPP

Worker Safety:
Worker Protection
Standard

OPP

Conduct WPS-related Outreach and Education. This
includes communicating existing requirements to the
02.01.02.0 regulated community and informing co-regulators, the
regulated community, and other program stakeholders of
any proposed changes or new requirements.
Support WPS worker & handler training.

01.02.15.0

Work Plan Activity Description (Outputs)
QAPP will be revised and submitted to EPA for 
review and approval by December 2014.
Acknowledged

Due Date
9/30/2015
9/30/2015

Status

Describe Work Plan Activity Accomplishment    
(include any issues or innovations, ifappropriate)

Significant 
Issues/ 
Innovations
None
None

As appropriate. Program will continue to process  Ongoing
applications as received and establish 
monitoring goals as appropriate.
Program will continue to inspect with a focus on  MY and
EOY
non‐food producing establishments. 

None

Required

As appropriate ‐ anticipating outreach for final 
WPS rule revision as appropriate.

None

Required

Ongoing
The program will explore the opportunity to 
develop a video in the DVD format that would 
be available on the University Extension (UWEX) 
YouTube channel and would provide worker and 
handler training.

None

02.01.03.0

MY and
EOY

None

Worker Safety:
Worker Protection
Standard

OPP

Assure mechanisms and procedures are in place to enable Required
coordination and follow-up on reports of occupational
02.01.04.0 pesticide exposure, incidents or illnesses that may be
related to pesticide use/misuse or WPS violations.

 Complaints are assigned for investigations as a  Ongoing
routine part of program. Procedures are in place 
for these activities.

None

Worker Safety:
Worker Protection
Standard

OECA

Monitor compliance with the WPS requirements associated Required
with use of high risk pesticides, high exposure scenarios or
02.02.01.0 repeat offenders. Include activities that support both WPS
and product use compliance.

continue to identify soil fumigants as a high risk  Ongoing
category for WI. This is taken into consideration 
for workplanning and assignments.

None

Worker Safety:
Worker Protection
Standard
Worker Safety:
Pesticide Applicator
Certification

OECA

Grantees may refer potential violations to the regional
02.02.02.0 office for appropriate action.

Acknowledged

OPP

Worker Safety:
Pesticide Applicator
Certification

OPP

Required
Implement pesticide applicator certification programs in
accordance with Part 171 and EPA approved certification
plans.
This
includes
communicating
information
about
03.01.01.0
proposed rule changes that may be published for comment
to co-regulators, the regulated community, and other
program stakeholders
Meet state/and tribal certification plan requirements for plan maintenance  Required
03.01.02.0 and annual reporting using the Certification Plan and Reporting Database 

Worker Safety:
Pesticide Applicator
Certification

OPP

Required

The following categories will be revised in FY 15;  Ongoing
Sewer Root, Wood Preservative, 
Aquatic/Mosquito, Seed Treatment & Anti‐
Fouling Paint. 

None

Quarterly
Reporting is completed annually. Plan 
maintenance is evaluated on an on‐going basis.

None

Required

UW PAT will schedule training sessions to occur  MY and
EOY
after Jan 1, 2015, in categories 1.1‐Field and 
Vegetable, 3.0‐Turf and Landscape, 6.0‐Right of 
Way, 7.1‐Structural.  County UW Extension 
Agents will train private applicators.

None

Required

Annually conduct use observation and restricted  MY
use dealer inspections with a focus on 
certification requirements. Also review as part 
of complaint investigations.
Ongoing
Ongoing

None

Ongoing
as needed. No changes in statute or rule 
anticipated.
Annual workplanning assignments will be made  Ongoing
to address this requirement. 

None

Outreach will be provided as needed and 
requested by industry or as concerns arise.

None

(CPARD).

Monitor applicator training for quality assurance.

03.01.03.0

Worker Safety:
Pesticide Applicator
Certification

OECA

Container
Containment
Container
Containment

OPP

Container
Containment

OECA

OPP

Soil Fumigation & Soil OPP
Fumigants

Monitor compliance with the pesticide applicator
certification requirements. Focus on sale/distribution of
03.02.01.0 restricted use pesticides (RUPs) to applicators. One
example is the fumigation sector(s) of concern.
04.01.01.0
04.01.02.0

9/30/2015

Provide technical assistance for the regulated community, Required
as appropriate.
Alert EPA to changes in state regulations and tribal codes. Required

Required
Monitor compliance with C/C requirements. Focus on
product and user compliance with special emphasis on
04.02.01.0 agricultural retailers/distributors that repackage pesticides
into refillable containers, as well as RUP and Tox 1
category products.
For High Use States only (CA, WA, ID, OR, WI, MI, FL,
Required
provide
05.01.01.0 MN, NC, VA, AZ, NV, GA, CO, ND) As appropriate,
technical assistance, education, and outreach, to the
regulated community.

Ongoing

None

None

Program Area

NPM

Soil Fumigation & Soil OECA
Fumigants
Pesticides in Water

OPP

Pesticides in Water

OPP

Pesticides in Water

Activity #

 '15 ‐ '17 Grant Guidance Activity 

Activity 
Type

Monitor compliance with soil fumigation labels. Focus on Required
05.02.01.0 product and user compliance with special emphasis on
new label requirements.
Required
For pesticides scheduled for registration review, submit
existing water quality monitoring data not already provided
to EPA, housed in the USGS National Water Information
06.01.01.0 System (NWIS), entered into EPA's STORET Data
Warehouse, or otherwise readily/publicly accessible to the
EPA via the web. See OPP Guidance for Submission of
State and Tribal Water Quality Monitoring Data, Appendix
5
Evaluate: Identify pesticides of concern (POC) by
Required
evaluating a list of pesticides of interest (pesticides
which have the potential to threaten local resources) to
determine if those pesticides are found at concentration
levels locally that are approaching or exceeding reference
06.01.02.0
points and therefore are a threat to local water quality.
The base list of pesticides of interest can be found in
Appendix 6.

Manage: Actively manage pesticides of concern beyond Required
the label to reduce or prevent further contamination of
local water resources.

OPP

06.01.03.0

Pesticides in Water

OPP

Pesticides in Water

OPP

Status

Describe Work Plan Activity Accomplishment    
(include any issues or innovations, ifappropriate)

Significant 
Issues/ 
Innovations

Is monitored as part of soil fumigant inspections. Ongoing

None

 Provide pesticide water quality data when 
specifically requested by EPA/OPP during 
registration review process.

as
requested

None

EOY

None

1. Collect water samples from 25 private wells 
for BLS GW List pesticide analyses and nitrate.  
2. Collect water samples from 15 in‐field 
monitoring wells for BLS GW List pesticide and 
nitrate analyses.   3. Annually review DATCP BLS 
and DNR GRN private well data and in‐field 
monitoring well data to determine any new 
areas or products of interest.   
9/30/2015
1. Assign and conduct groundwater 
investigations or other appropriate measures at 
locations where a private well shows 
exceedences of applicable ch. NR 140 
Enforcement Standards or MCLs for pesticides.    
2. Implement the containment program   3. 
Conduct Ag‐Use Observations for atrazine use in 
five atrazine prohibition areas to educate 
growers and to test for illegal use of atrazine in 
prohibition areas. 4. Evaluate the need to revise 
ATCP 30 to add or expand Atrazine Prohibition 
Areas (PAs). 

None

9/30/2015
Perform atrazine exceedence well survey to 
demonstrate reduced atrazine concentrations in 
wells inside of prohibition areas.

None

Required
Re-evaluate pesticides if there is new information that
could affect risk (e.g., new hazard data, significant
increase in use, a new OPP risk assessment or registration
decision involving a water quality concern).
Report progress of activities in 06.01.02 – 06.01.05 in POINTS.
Required

9/30/2015
Evaluate pesticide data for possible new 
standards creation.  Communicate need for any 
new standards with WDNR and WDHS.  

None

Enter new pesticides of interest into POINTS by  12/30/2015
12/30/2015
9/30/2015
Actively work with WI Department of Natural 
Resources and Department of Health Services 
on groundwater related issues/concerns.

None

9/30/2015
Implement Spills, ACCP and containment 
programs requiring investigations and soil/water 
cleanups as appropriate to protect water 
quality.
Pesticide program will be participating with UW  9/30/2015
and WI Apriary program to develop a state 
pollinator plan by 9/30/15. Outreach will be 
provided following publication.

None

Will be targeting use observation inspections 
with beekeepers to evaluate pesticide use and 
hive maintenance practices. Outreach will be 
provided related to state pre‐notification 
regulations and DriftWatch program.

None

Pesticides in Water

OPP

Pesticides in Water

OPP

Where appropriate, consult with and/or coordinate
prevention and protection of water resources with other
06.01.07.0 agencies responsible for water resource protection.

Required

Pesticides in Water

OECA

Monitor compliance with pesticide water quality risk
mitigation measures, and respond to pesticide water
06.02.01.0 contamination events especially where water quality
standards or other reference points are threatened.

Required

Pollinator Protection

OPP

Provide continuing educational opportunities and outreach Selected
to keep growers, applicators, and handlers up-to-date on
09.01.02.0 the most recent methods to protect pollinators, such as
IPM, BMPs, or softer applications.

Pollinator Protection

OECA

Conduct inspections and take enforcement actions
Selected
directed at detecting and stopping distribution of
unregistered or misbranded pesticides that could adversely
09.02.02.0 affect pollinators and/or the quality of hive products.

06.01.06.0

Due Date

Required

Demonstrate Progress: Show the management strategy
has been effective in reducing or maintaining
06.01.04.0 concentrations below reference points .

06.01.05.0

Work Plan Activity Description (Outputs)

9/30/2015

None

None

Program Area
Spray Drift

NPM

Activity #

OECA

 '15 ‐ '17 Grant Guidance Activity 

Activity 
Type

Monitor compliance with spray drift label language and
Selected
report investigation findings as part of year–end reporting.
11.02.01.0

Supplemental/
Special Project

OPP

Supplemental/
Special Project

OECA

17.01.01.0
17.02.01.0

Supplemental Activity (OPP)

Selected

Supplemental Activity (OECA)

Selected

Work Plan Activity Description (Outputs)

Due Date

9/30/2015
Monitoring will be conducting as part of 
complaint investigations  with the intent of 
providing a summary report with the year‐end 
reporting. 
9/30/2015
Supplemental Grant proposal #1 for Check 
Sample program under Narrative tab.
See proposal description for OECA Lab Funding  9/30/2015
under Narrative tab.

Status

Describe Work Plan Activity Accomplishment    
(include any issues or innovations, ifappropriate)

Significant 
Issues/ 
Innovations
None

None

EPA Review 
of Status

EPA Comment(s)

EPA Recommendation (s)

RPA#

Required Program 
Areas

Required Type EPA Program Outcome

Grantee Outcome

EPA Goal

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

1 Basic Pesticide Program Required

Maintain a basic level of pesticide program 
Maintain a basic level of pesticide program 
implementation, compliance assistance, and 
implementation, compliance assistance, and 
enforcement to ensure a viable pesticide regulatory  enforcement to ensure a viable pesticide 
and enforcement program, achieve environmental  regulatory and enforcement program, achieve 
environmental results, and maximize success 
results, and maximize success with the Agency's 
with the Department's performance measures.
performance measures.

2 Worker Safety: Worker  Required
Protection Standard

Prevent or reduce occupational pesticide 
exposures, incidents and illnesses from pesticides, 
especially ones that pose high risks or high 
exposures to workers. 

Prevent or reduce occupational pesticide 
EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
exposures, incidents and illnesses from 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
pesticides, especially ones that pose high risks or  EPA Strategic Plan Goal 5: Enforcing Environmental Laws.
high exposures to workers. 

3 Worker Safety: Pesticide  Required
Applicator Certification

Prevent or reduce pesticide exposures and 
incidents to humans and the environment by 
increasing the competence and expertise of 
applicators/handlers of restricted use pesticides.  

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
Prevent or reduce pesticide exposures and 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
incidents to humans and the environment by 
increasing the competence and expertise of 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.
applicators/handlers of restricted use pesticides.  

4 Container Containment Required

Prevent or reduce pesticide exposures to humans 
and the environment due to damaged pesticide 
containers and pesticide spills or releases. 

Prevent or reduce pesticide exposures to humans  EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and the environment due to damaged pesticide  and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
containers and pesticide spills or releases. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

5 Soil Fumigation & Soil 
Fumigants

Required

Prevent or reduce incidents resulting from soil 
fumigation exposures. 

Prevent or reduce incidents resulting from soil 
fumigation exposures. 

6 Pesticides in Water

Required

Ensure that pesticides do not adversely affect the 
nation’s water resources.

Ensure that pesticides do not adversely affect the  EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
nation’s water resources.
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

7 Endangered Species 
Protection

Pick List

Limit potential effects from pesticide use to listed 
species, while at the same time not placing undue 
burden on agriculture or other pesticide users.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

8 Bed Bugs

Pick List

Minimize the potential for pesticide 
misuse/overuse and spread of bed bug infestations 
by increasing understanding of bed bug prevention 
and control approaches, and ensuring compliance 
with accepted control approaches.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

9 Pollinator Protection

Pick List

Ensure pollinators are protected from adverse 
effects of pesticide exposure.

Ensure pollinators are protected from adverse 
effects of pesticide exposure.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

10 School Integrated Pest  Pick List
Management

Decrease exposure of children in public schools 
(grades K‐12) to pests and pesticides through 
increased adoption of verifiable and ongoing school 
Integrated Pest Management (IPM) programs.  

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety.

11 Spray Drift

Pick List

Reduce spray drift incidents by increasing 
awareness and adoption of spray drift reduction 
techniques and technologies. 

12 State and Tribal 
Coordination and 
Communication

Pick List

Where appropriate, support tribal pesticide 
program capacity building and efficient use of state 
resources by improving coordination, 
communication and cooperation between tribes 
and states to advance pesticide program 
implementation and increase program efficiencies.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

13 Supplemental 
Distributors

Pick List

Ensure that distributor products are properly 
registered, formulated and labeled.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

14 Contract Manufacturers Pick List

Reduce instances of illegal manufacture or 
mislabeling of products manufactured under 
contract.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

15 Imports

Pick List

Eliminate the distribution of unregistered, 
misbranded, or adulterated imported pesticides.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

16 National Data System

Pick List

Collect detailed enforcement data on a national 
level from grantees to better target pesticide 
violations and to explain the performance of the 
national program.

EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.

17 Supplemental/ Special 
Project 

Optional

18 Regional Guidance 
Activity

Optional

Reduce spray drift incidents by increasing 
EPA Strategic Plan Goal 4: Ensuring the Safety of Chemicals 
awareness and adoption of spray drift reduction  and Preventing Pollution, Objective 1: Ensure Chemical Safety. 
EPA Strategic Plan Goal 5: Enforcing Environmental Laws.
techniques and technologies. 

United States  Environmental Protection Agency Washington, DC 20460 

Back

Pesticides Enforcement Cooperative Agreement Projections & Accomplishment Summary Report
State/Tribe:

WDATCP

FFY

Reporting
Period:

15

Agricultural

Enforcement Projections & 
Accomplishments 

10/1/2014

Work Plan Accomplishments

9/30/2015

Nonagricultural
PEI

Marketplace

Imports

Exports

Certified
Applicator
Records

Restricted Use
Pesticide
Dealers

TOTAL

EUP

0

0

125

110

4475

25

22

393

0

0

0

Use

For Cause 

Use

For Cause

400

1200

300

800

45

720

775

Inspections

20

60

20

40

3

48

155

Samples

8

210

70

2

10

0

0

0

0

0

(Hrs)

Projected:

Accomplished:

0

300
0

0

0

( )

0

0

0

0

0

0

0

0

0

0

0

0

Federal Facilities

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Inspections:

Physical
Samples = 0

0

0

0

0

0

0

0

0

0

0

0

0

(Accomplished) - (Projected)

-400

-1200

-300

-800

-45

-720

-775

0

0

-125

-110

-4475

Inspections

(20)

(60)

(20)

(40)

(3)

(48)

(155)

0

0

(25)

(22)

(393)

Samples

(8)

(210)

0

(70)

(2)

(10)

0

0

0

0

0

(300)

Civil Complaints Issued

0

0

0

0

0

0

0

0

0

0

0

0

Criminal Actions Referred

0

0

0

0

0

0

0

0

0

0

0

0

Administrative Hearings Conducted

0

0

0

0

0

0

0

0

0

0

0

0

License/Certificate Suspension

0

0

0

0

0

0

0

0

0

0

0

0

License/Certificate Revocation

0

0

0

0

0

0

0

0

0

0

0

0

License/Certificate Conditioning or Modification

0

0

0

0

0

0

0

0

0

0

0

0

Number of Warnings Issued

0

0

0

0

0

0

0

0

0

0

0

0

Stop-Sale, Seizure, Quarntine or Embargo

0

0

0

0

0

0

0

0

0

0

0

0

Cases Forwarded to EPA for Action

0

0

0

0

0

0

0

0

0

0

0

0

Other Enforcement Actions

0

0

0

0

0

0

0

0

0

0

0

0

Number of Cases Assessed Fines

0

0

0

0

0

0

0

0

0

0

0

0

Total Number of Actions

0

0

0

0

0

0

0

0

0

0

0

0

Documentary

Pesticide Enforcement Actions Taken

% of Inspections Resulting in Actions
Percent of Total Actions

Back

United States 

Environmental Protection Agency 
Washington, DC 20460 

Pesticides Enforcement Cooperative Agreement Accomplishment Report (WPS)
State/Tribe: WDATCP

Year:

FFY15

Reporting
Period:

WPS Tier I

10/1/2014

Work Plan Accomplishments

9/30/2015

WPS Tier II
Total

Inspections at
Facilities
Claiming Family
Exemption *

0

10

0

0

0

0

1 Pesticide Safety Training

0

0

0

0

0

2 Central Posting

0

0

0

0

0

0

3 Notice of Application

0

Criminal Actions Referred

0

0

0

0

0

4 Entry Restrictions

0

Administrative Hearings Conducted

0

0

0

0

0

5 Personal Protective Equipment

0

License/Certificate Suspension

0

0

0

0

0

6 Mix/Loading, Application Equip & Applications

0

License/Certificate Revocation

0

0

0

0

0

7 Decontamination

0

License/Certificate Conditioning or
Modification

0

0

0

0

0

8 Emergency Assistance

0

Number of Warnings Issued

0

0

0

0

0

9 Information Exchange

0

Stop-Sale, Seizure, Quarantine or
Emabargo

0

0

0

0

0

10 Retaliation

0

Cases Forwarded to EPA for Action

0

0

0

0

0

Other Enforcement Actions

0

0

0

0

0

Number of Cases Assessed Fines

0

0

0

0

0

Enforcement Accomplishments This 
Reporting Year

Use 

For Cause

Use

For Cause

Total Inspections Conducted

10

0

0

Physical

0

0

Documentary

0

Civil Complaints Issued

Violations During WPS Inspections

# of
Violations

Samples Collected

Total Violations

* This column is a subset of the WPS Tier I and WPS Tier II Columns combined to collect data on inspections conducted at facilities claiming the Immediate Family Exemption 

< Summary

0

United States 

Environmental Protection Agency 
Washington, DC 20460 

Pesticides Enforcement Cooperative Agreement Accomplishment Report (Container/Containment)
State/Tribe:

WDATCP

Year:

FFY15

Reporting
Period:

10/1/2014

Work Plan Accomplishments

9/30/2015

PEI

Non-PEI

With  
Containment

Containment

Total

10

38

48

Physical

0

10

10

Documentary

0

0

2. Deficient container design (valves, openings)

Civil Complaints Issued

0

0

3. Producing establishment registration violations

Criminal Actions Referred

0

0

4. No contract manufacturing agreement, residue 
removal,instructions, list of acceptable containers

Administrative Hearings Conducted

0

0

License/Certificate Suspension

0

0

License/Certificate Revocation

0

0

License/Certificate Conditioning or
Modification

0

0

Number of Warnings Issued

0

0

Stop-Sale, Seizure, Quarantine or
Emabargo

0

0

Cases Forwarded to EPA for Action

0

0

Other Enforcement Actions

0

0

Number of Cases Assessed Fines

0

0

Enforcement Accomplishments This 
Reporting Year
Total Inspections Conducted

Container/Containment Violations

Samples Collected (10)

Refillable Containers
1. Deficient labeling                                                                       
(i.e. cleaning and disposal instructions)

5. Deficient management procedures & operation
6. Record keeping

Containment
7. Secondary containment & pads – capacity/design
8. Secondary containment & pads – site management
9. Secondary containment & pads – record keeping

Total Violations

0

Endangered Species Inspections Report*
State/Tribe:    Wisconsin Department of Agriculture,Trade and Consumer Protect
Fiscal Year:    FFY  15
Reporting Period:    10/1/2014 9/30/2015
Number

Comment**

Total number of use and for cause inspections that 
involved the use of a pesticide product that refers the 
applicator to obtain and follow the instructions of an 
Endangered Species Bulletin

Number of use and for cause inspections where the 
pesticide applicator was alleged to be in violation of 
Endangered Species labeling requirements, including 
any applicable Bulletin

* This information is required for all grantees whether or not Endangered Species is selected from the pick‐list.

** To help OPP assess the effectiveness of endangered species risk mitigation requirements and Endangered Species bulletins, 
please include in this comment field some information on the pesticide products and bulletin provisions that were violated. 

[Placeholder for Enforcement Performance Measures Form when final

FIFRA Cooperative Agreement Work Plan and Report ‐ Status

Wisconsin Department of Agriculture,Trade and Consumer Protection
Activity Status Report

10/1/2014
9/30/2015

NPM

(All)
Status

(blank)

Grand Total

Program Area

Due Date

Activity #

Work Plan Activity 
Description (Outputs)

Bed Bugs
Container Containment
Contract Manufacturers
Imports
National Data System
Pollinator Protection
Spray Drift
Supplemental Distributors
Basic Pesticide Program
Soil Fumigation & Soil Fumigants
Pesticides in Water

9/30/2017

06.01.01.0
06.02.01.0
06.01.02.0
06.01.03.0
06.01.04.0
06.01.05.0
06.01.06.0
06.01.07.0

(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)

Endangered Species Protection
Supplemental/Special Project 
Regional Guidance Activity
Worker Safety: Worker Protection 
Standard
Worker Safety: Pesticide Applicator 
Certification

9/30/2017

03.01.01.0
03.01.02.0
03.01.03.0
03.02.01.0

(blank)
(blank)
(blank)
(blank)

School Integrated Pest Management

9/30/2017

10.01.01.0
10.01.02.0

(blank)
(blank)

State and Tribal Coordination and 
Communication

9/30/2017

12.01.01.0
12.01.02.0
12.02.01.0
12.01.03.0
12.01.04.0
12.01.05.0
12.01.06.0

(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)

Count of Status

Wisconsin Department of Agriculture,Trade and Consumer Protection
Report by Progam Area

8/5/2014

10/1/2014

Back

9/30/2015
NPM

(All)

Program Area
Status
Bed Bugs
(blank)
Container Containment
(blank)
Contract Manufacturers
Imports
National Data System
Pollinator Protection
Spray Drift
Supplemental Distributors
Basic Pesticide Program
Soil Fumigation & Soil Fumigants
Pesticides in Water
(blank)
Endangered Species Protection
Supplemental/Special Project 
Regional Guidance Activity
Worker Safety: Worker Protection St (blank)
Worker Safety: Pesticide Applicator C (blank)
School Integrated Pest Management (blank)
State and Tribal Coordination and Co (blank)
Grand Total

11

Activity #

Due Date

Work Plan Activity Description (Outputs)

ICR_TemplateExample.080514.xlsx

Count of Status

8/5/2014

Wisconsin Department of Agriculture,Trade and Consumer Protection
Significant Issues & Innovations Report

10/1/2014
9/30/2015

NPM

(All)

Significant Issues/ 
Prog #
Innovations
(blank)

None

Grand Total

2
11
17
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Program Area
Worker Safety: Worker Protection Standard
Spray Drift
Supplemental/Special Project 
Basic Pesticide Program
Worker Safety: Worker Protection Standard
Worker Safety: Pesticide Applicator Certification
Container Containment
Soil Fumigation & Soil Fumigants
Pesticides in Water
Endangered Species Protection
Bed Bugs
Pollinator Protection
School Integrated Pest Management
Spray Drift
State and Tribal Coordination and Communication
Supplemental Distributors
Contract Manufacturers
Imports
National Data System
Supplemental/Special Project 
Regional Guidance Activity

Count of Significant Issues/ Innovations

21
5
4
3
2
8
9
2
4
2
3
7
1
1
1
1
1
2
77

Wisconsin Department of Agriculture,Trade and Consumer Protection
Activity Type Report

10/1/2014
9/30/2015

NPM

Activity Type
Optional

Required

(All)
Program 
Area

Prog #

1

2

3

4

5

6

Activity #

Status

Work Plan Activity Description (Outputs)

Basic 
Pesticide 
Program
01.00.01.0
(blank)
01.00.02.0
(blank)
01.00.03.0
(blank)
01.01.01.0
(blank)
01.01.02.0
(blank)
01.02.01.0
(blank)
01.02.02.0
(blank)
01.02.03.0
(blank)
01.02.04.0
(blank)
01.02.05.0
(blank)
01.02.06.0
(blank)
01.02.07.0
(blank)
01.02.08.0
(blank)
01.02.09.0
(blank)
01.02.10.0
(blank)
01.02.11.0
(blank)
01.02.12.0
(blank)
01.02.13.0
(blank)
01.02.14.0
(blank)
01.02.15.0
(blank)
01.02.16.0
(blank)
Worker Safety: Worker Protection Standard
02.01.01.0
(blank)
02.01.02.0
(blank)
02.01.03.0
(blank)
02.01.04.0
(blank)
02.02.01.0
(blank)
02.02.02.0
(blank)
Worker Safety: Pesticide Applicator Certification
03.01.01.0
(blank)
03.01.02.0
(blank)
03.01.03.0
(blank)
03.02.01.0
(blank)
Container Containment
04.01.01.0
(blank)
04.01.02.0
(blank)
04.02.01.0
(blank)
Soil 
Fumigati
on & Soil 
Fumigan
ts
05.01.01.0
(blank)
05.02.01.0
(blank)
Pesticide
s in 
06.01.01.0
(blank)
06.02.01.0
(blank)

gxhk  dgttlk
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)

(blank)
(blank)

(blank)
(blank)

Required

(blank)
Picklist
Grand Total

6

Pesticide

06.01.02.0
06.01.03.0
06.01.04.0
06.01.05.0
06.01.06.0
06.01.07.0

(blank)
(blank)
(blank)
(blank)
(blank)
(blank)

(blank)
(blank)
(blank)
(blank)
(blank)
(blank)

Wisconsin Department of Agriculture,Trade and Consumer Prot

08/05/14

EPA Recommendations Report
FFY  15

Back

10/1/2014
9/30/2015

NPM

(All)

Work Plan Activity Description (Outputs)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
(blank)
gxhk  dgttlk
Soil Fumigation & Soil Fumigants
(blank)
Pesticides in Water
(blank)
(blank)
Endangered Species Protection
Supplemental/Special Project 
(blank)
Regional Guidance Activity
(blank)
Worker Safety: Worker Protection Sta (blank)
Worker Safety: Pesticide Applicator Ce (blank)
School Integrated Pest Management
(blank)
State and Tribal Coordination and Com (blank)
Grand Total

Program Area
Bed Bugs
Container Containment
Contract Manufacturers
Imports
National Data System
Pollinator Protection
Spray Drift
Supplemental Distributors
Basic Pesticide Program

EPA Recommendation (s)

My Report

Back 

[Placeholder for Paperwork Reduction Act/Information Collection Request when final]

The public reporting and recordkeeping burden for this collection of information is
estimated to average 60.5 hours per response. Send comments on the Agency's need
for this information, the accuracy of the provided burden estimates, and any suggested methods
for minimizing respondent burden, including through the use of automated collection techniques
to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T),
1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in
any correspondence. Do not send the completed template to this address.