Animal Food Contract Quarterly Summary Report.xlsx

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Overview

Coversheet
StateReport
DivisionReport
Instructions

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Sheet 1: Coversheet

Contract Number (auto-filled)

Select Agency

Agency Name (select from list)

Select

State or US Territory (auto-filled)

Select Agency

Contract Type

FEED

Date Completed (MM/DD/YYYY)

State Report Preparer's Name

State Report Preparer's Email

Period of Performance Start Date

Period of Performance End Date

Reporting Period Start Date

Reporting Period End Date

Reporting Period Frequency

Select

Current Reporting Period

Select

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Sheet 2: StateReport

		Contract Reporting Elements	Line Item (for current option)	Total Contract Requirement	Total Completed (this reporting period)	Total Remaining
	Contract Work Accomplished	Contract Inspection Types
		1. Travel to Site	0	0	0	0
		2. BSE Only Inspections	0	0	0	0
		3. Licensed Medicated Feed Part 225 CGMP	0	0	0	0
		4. Comprehensive Licensed Medicated Feed Part 225 CGMP	0	0	0	0
		5. Non-Licensed Medicated Feed Part 225 CGMP	0	0	0	0
		6. Comprehensive Non-Medicated Feed Part 225 CGMP	0	0	0	0
		7. PCAF Part 507 CGMP	0	0	0	0
		8. Preventive Controls for Animal Food	0	0	0	0
		9. Sanitary Transportation	0	0	0	0
		10. VFD Trace-back/Trace-forward	0	0	0	0
		11. Veterinary Feed Distribution (VFD)	0	0	0	0
		12. VFD Distributor + BSE Non-Manufacturing	0	0	0	0
		Contract Investigations
		13. Official Establishment Inventory (OEI)	0	0	0	0
		14. Visits/Out of Business (OOB)	0	0	0	0
		Contract Audits
		15. Audits	0	0	0	0
		Contract Samples
		16. Product Samples
	State Contract Actions	17. In-Compliance Quantity
		18. Not In-Compliance Quantity
		19. Enforcement Notices (e.g. warning letters)			0
		20. Embargoes/Seizures			0
		21. Hearings Conducted			0
		22. Prosecutions/Injunctions			0
		Other Contract Actions List Below
		23. [Replace bracketed text]			0
		24. [Replace bracketed text]			0
		25. [Replace bracketed text]			0
		26. Re-Inspections (Follow-ups to violative Inspections)			0
	State Contractor Challenges, Issues, and Highlights
	27. Select the current status based on your assessment of contract performance for this reporting period.		Select
	28. List any major challenges encountered this reporting period and corrective actions taken. Include how these actions directly address those challenges.
	29. Write a brief narrative detailing any positive, significant events identified during this reporting period.
	30. If applicable, report a dollar value for Item 20. Embargos/Seizures from the table above.		$0.00
	31. Additional State Reporting Comments

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Sheet 3: DivisionReport

	Contract Performance Feedback
	32. Indicate the overall status of the State contractor's performance this reporting period.		Select
	33. (Optional) If the contractor experienced challenges or issues during this reporting period, please list them and detail any corrective actions taken or agreed to by the contractor.
	34. (Optional) Write a brief narrative detailing any positive, significant events identified during the contractor's performance this reporting period.
	35. Indicate Division Approval or Disapproval by selecting from the drop-down menu. If this report is disapproved, provide your explanation below.		Select
	36. (Optional) Additional Division Reporting Comments.
	37. Enter the name of the Division Representative approving this report.
	38. Enter the date this Division Review was completed.

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Sheet 4: Instructions