REPORTING: Standardized Forms

Standardized Reporting Forms for Federally Funded Public Health Projects and Agreements

OMB: 0910-0909

IC ID: 254624

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

REPORTING: Standardized Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 
2 CFR 200; 300 - Grants & Agreements  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Form Produce Instructions Inspection Aggregate Data 2023.docx Yes Yes Fillable Fileable
Other-Form Produce Instructions Inventory & Education Aggregate Data 2023.docx Yes Yes Fillable Fileable
Other-Form Produce CAP_Project Plan outline 2023.docx Yes Yes Fillable Fileable
Other-Form LFFM_SRP-Lab Agreement Template_HAF Tracks 2023.docx Yes Yes Fillable Fileable
Other-Form Veterinary Medicine Course Pregistration Workbook 2023.xlsx Yes Yes Fillable Fileable
Other-Form Scientific Conference Program Report Draft 2023.xlsx Yes Yes Fillable Fileable
Other-Form Produce Program Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form Produce Inventory & Education Aggregate Data Workbook 2023.xlsx Yes Yes Fillable Fileable
Other-Form Produce Inspection Aggregate Data workbook 2023.xlsx Yes Yes Fillable Fileable
Other-Form Produce Educational Needs Assesment Submission template 2023.xlsx Yes Yes Fillable Fileable
Other-Form Produce Course Pregistration Workbook 2023.xlsx Yes Yes Fillable Fileable
Other-Form Produce CAP Assessment template 2023.xlsx Yes Yes Fillable Fileable
Other-Form MQSA MEU Spending and Tracking Update Report Template_2023.xlsx Yes Yes Fillable Fileable
Other-Form Medical Devices Contract Quarterly Summary Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form Manufactured Food Course Pregistration Workbook 2023.xlsx Yes Yes Fillable Fileable
Other-Form LFFM Sample and Activity Plan_Proposal Template 2023.xlsx Yes Yes Fillable Fileable
Other-Form LFFM QTR LFFM Data Template Micro HAF Product Testing 2023.xlsx Yes Yes Fillable Fileable
Other-Form LFFM Program Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form LFFM QTR LFFM Chem_LFFM_HAF_Results_Sheet 2023.xlsx Yes Yes Fillable Fileable
Other-Form LFFM ORS Capability Inquiry Template 2023.xlsx Yes Yes Fillable Fileable
Other-Form Human Food Contract Quarterly Summary Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form FPTF Program Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form General Program Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form FFM Program Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form Emergency Response Course Preregistration Workbook 2023.xlsx Yes Yes Fillable Fileable
Other-Form Egg Contract Quarterly Summary Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form AFRPS Program Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form Animal Food Contract Quarterly Summary Report 2023.xlsx Yes Yes Fillable Fileable
Other-Form Animal Food Safety Inspection Audit Form 2023.pdf Yes Yes Fillable Fileable
Other-Form Corrective Action Plan for Program and Individual Performance Deficiencies 2023.pdf Yes Yes Fillable Fileable
Other-Form FDA 3610 Field Inspection Audit 2023.pdf Yes Yes Fillable Fileable
Other-Form LFFM Instructions QTR LFFM Data Template Micro HAF Product Testing 2023.pdf Yes Yes Fillable Fileable
Other-Form Request for Audit Reduction 2023.pdf Yes Yes Fillable Fileable
Other-Form State Implementation Agreement and Year End Evaluation 2023.pdf Yes Yes Fillable Fileable
Other-Form LFFM Instructions QTR LFFM Chem_LFFM_HAF_Results_Sheet 2023.pdf Yes Yes Fillable Fileable
Other-Form LFFM Instructions Sample and Activity Plan_Proposal Template 2023.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

330 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,090 0 0 -230 0 1,320
Annual IC Time Burden (Hours) 30,700 0 0 0 0 30,700
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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