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U.S. Department of Health and Human Services

Inspections, Compliance, Enforcement, and Criminal Investigations

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Appendix I Contract Inspection Audit Program Evaluation Form

ORA FIELD MANAGEMENT DIRECTIVE No. 76
Appendix I

Subject:
State Contracts-Evaluation of Inspectional Performance
Area:
State Program Management
Date:
01/23/14 Revised

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Appendix I
Instructions for Completing the Request for Audit Reduction

AUDIT REDUCTIONS MUST BE REQUESTED DURING THE FIRST QUARTER OF THE CONTRACT PERIOD OF PERFORMANCE.

GENERAL

Use this form to obtain approval for reducing the required number of audits for the food and BSE-feed contract inspection programs.  The District will complete and submit the form to the Office of Partnerships (OP).  If an audit reduction is needed in both feed and food, the District must complete and submit separate forms for each program.

OP will provide copies to the District Director, Director of Investigations Branch, Co-COR, District Contact, and the State Agency Contact as notification of approval or disapproval of the request.

The request for audit reduction must be submitted and approved for each 12-month period of performance.

SPECIFIC

    • Contact Information
    • Contract Information
    • Audit Reduction
    • Conditions of Agreement
    • To Be Completed By OPThis section is for OP only and should be left blank.  If the audit reduction is not approved, an explanation will be provided.

    1. Select the District office from the drop down menu.
    2. Provide the name of the District person to be contacted for the information.
    3. Select the State agency from the drop down menu.
    4. Provide the name of the State person to be contacted for the information.

    1. Select the District office from the drop down menu.
    2. Provide the name of the District person to be contacted for the information.
    3.  Check the type of inspections awarded in the contract and provide the number of inspections for each type of inspection.
    4.  Provide the number of inspectors conducting FDA contract inspections.
    5.  For food contracts only.  Check the state’s phase of implementation of the contract audit program.

    1.  Briefly explain the reasons for requesting an audit reduction.
    2.  Provide the number of audits planned for each type of inspection.
       

    The District and State shall read and understand thmese conditions of agreement.  It is the responsibility of the District and State to report any changes to the information provided on the form. If the information provided on the form changes, the State shall notify the District within 10 working days.  The District is responsible for reporting the changes to OP within 10 working days.  A new Request for Audit Reduction Form may be needed.

Distribution:
Approved original: Office of Partnerships
Approved copy: District Director, Director of Investigations Branch, Co-COR, and the
District Contact, and State Agency Contact