REPORTING: Funded Projects Pilot; Developing Standardized Forms

Pilot to Develop Standardized Reporting Forms for Federally Funded Public Health Projects and Agreements

FPTF Program Report.xlsx

REPORTING: Funded Projects Pilot; Developing Standardized Forms

OMB: 0910-0909

Document [xlsx]
Download: xlsx | pdf

Overview

Coversheet
FPTF
PrintOption
PrintFPTF


Sheet 1: Coversheet

















Awardee Name
Select

Report Type
End of Year






Date Completed




























Project Period Start Date








Project End Date








Budget Period Start Date








Budget Period End Date




























Principal Investigator (PI)



PI Email



PI Phone








Has PI Information Changed?
Select

















New PI Name



New PI Email



New PI Phone





























Sheet 2: FPTF














Grant Track: FPTF




Grant Year (select):











Budget Report






Expenses EOY Total Budgeted EOY Expended to Date EOY Total Projected Expenses

1a Salary and Wages $0.00 $0.00 $0.00

1b Fringe Benefits $0.00 $0.00 $0.00

2 Equipment $0.00 $0.00 $0.00

3 Travel $0.00 $0.00 $0.00

4 Materials and Supplies $0.00 $0.00 $0.00

6 Consultant Services $0.00 $0.00 $0.00

10 Federal F&A (Indirect Costs) $0.00 $0.00 $0.00

11 Other Costs $0.00 $0.00 $0.00

15 Total Budget $0.00 $0.00 $0.00

16 Estimated current obligated funds $0.00



17 Carryover I will be requesting $0.00



20 Food Protection Task Force Budget Comments
(Use Alt+Enter for new line if desired)






Dates covered by this report:
(MM/DD/YYYY)




Reporting Period Start Date:





Reporting Period End Date:











Summary of Progress





FPTF Official's Name:









FPTF Mission:











FPTF Annual Goals:











FPTF Annual Objectives:











Provide a description of the FPTF structure and leadership:











Provide a description of the FPTF membership:






Task Force Meeting Details - Attach copies of agendas to your email submission







Enter Number




Meetings:





Trainings:





Workshops:











Describe the meeting or training type (webinar, face to face, etc.):











Describe and list the number of attendees represented per meeting, training or workshop (e.g., federal, state, local, tribal and territorial human and animal food (HAF) protection, public health, agriculture and regulatory agencies, retail, industry, academia, and consumers):


















Evaluations of Accomplishments and Outcomes












Describe what went well (success stories and lessons learned):











Describe how the FPTF promoted the integration of an efficient statewide HAF protection system that maximized the protection of public health:











Describe the FPTF efforts to foster communication, education and outreach:











Describe what could be done better:











Describe what could be done to improve the outreach activity event:












Meeting(s) Evaluation You may submit MFRPS Appendix 7.2 form(s) if completed












Describe the discussions and decisions resulting from these activities (e.g. reports, recommendations, questions, etc.) including the replicability across other state task forces:











Description of integrated activities (e.g. networking, tabletop exercises, development of food safety, food defense and inspection resources, training, information sharing, statewide needs assessments, etc.):











Identification of any issues encountered during the implementation and/or adoption of FSMA or other rules, codes, and ordinances:











Describe any resources and tools developed by the FPTF to meet their goals and objectives for sharing with other task forces and stakeholders:











Terms and Conditions for FPTF funding track (as applicable)

All conference material (promotional materials, agenda, publications and internet sites) related to this project must include an acknowledgement of FDA grant support and a disclaimer stating the following: “Funding for this conference was made possible [in part] by [insert grant number] from [insert FDA name]. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.”








Changes in key task for personnel must be reported. Recipients shall notify James Betz, Project Officer of the FFM Program [email protected], Jocelyn Ramos Project Officer of the FFM Program at [email protected], cc Graham Giesen, Project Officer of Food Protection Task Force Program at [email protected], and cc Gordana Zuber, Grant Specialist of the FFM Program at, [email protected].















Additional Narrative












(Optional) Describe any ongoing concerns, problems, or program successes here:


















(Optional) Anything else you would like to report related to your FPTF Report that is not reported elsewhere on this form:





Sheet 3: PrintOption












































































































































































































Sheet 4: PrintFPTF

Select
End of Year
FPTF
Program Narrative

Dates covered by this report:
12/30/1899
12/30/1899
Summary of Progress
FPTF Official's Name:
0
FPTF Mission:
0
FPTF Annual Objectives:
0
Provide a description of the FPTF structure and leadership:
0
Provide a description of the FPTF membership:
0
Task Force Meeting Details - Attach copies of agendas to your email submission
Meetings:
0
Trainings:
0
Workshops:
0
Describe the meeting or training type (webinar, face to face, etc.):
0
Describe and list the number of attendees represented per meeting, training or workshop (e.g., federal, state, local, tribal and territorial human and animal food (HAF) protection, public health, agriculture and regulatory agencies, retail, industry, academia, and consumers):
0
Evaluations of Accomplishments and Outcomes
Describe what went well (success stories and lessons learned):
0
Describe how the FPTF promoted the integration of an efficient statewide HAF protection system that maximized the protection of public health:
0
Describe the FPTF efforts to foster communication, education and outreach:
0
Describe what could be done better:
0
Describe what could be done to improve the outreach activity event:
0
Meeting(s) Evaluation You may submit MFRPS Appendix 7.2 form(s) if completed
Describe the discussions and decisions resulting from these activities (e.g. reports, recommendations, questions, etc.) including the replicability across other state task forces:
0
Description of integrated activities (e.g. networking, tabletop exercises, development of food safety, food defense and inspection resources, training, information sharing, statewide needs assessments, etc.):
0
Identification of any issues encountered during the implementation and/or adoption of FSMA or other rules, codes, and ordinances:
0
Describe any resources and tools developed by the FPTF to meet their goals and objectives for sharing with other task forces and stakeholders:
0
Additional Narrative
(Optional) Describe any ongoing concerns, problems, or program successes here:
0
(Optional) Anything else you would like to report related to your FPTF Report that is not reported elsewhere on this form:
0
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File Modified0000-00-00
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