Annual Progress Re Annual Progress Report

National Institute of Food and Agriculture

US Department of Agriculture

OMB No. 0524-0050

Form Approved For Use Through XX/XX/XXXX

Veterinary Medicine Loan Repayment Program (VMLRP)

Annual Progress Report

All information provided in this report is subject to disclosure through Freedom of Information Act requests. Do not share proprietary business information, client information. Personal identifiers and contact information will be redacted before information is shared.

Purpose: Completion of this form is required by each VMLRP participant for each year they are in loan repayment status in a service agreement. This form must be submitted within 60 days of the service agreement anniversary date, usually January 1. Reminders for the annual progress reports will be sent via email to each participant beginning 90 days before the due date. Use this form to report your impact and success in serving your shortage situation area. These reports collectively document the success of VMLRP.

Questions: Any questions can be sent to vmlrp.applications@usda.gov.

Redacted information from this report may be shared with the State Animal Health Official to communicate with their office about the status of the shortage situation (SS).

SECTION 1: GENERAL AWARD INFORMATION

Name:

Email:

Phone:

Reporting Period Start Date:

Reporting Period End Date:

Period of Performance Start Date:

Period of Performance End Date:

Award Number:

Veterinary Services Shortage Situation Identification Code:

Type (I, II or III) and % Full-Time Equivalent (%FTE):

Is your professional license up to date? (Yes, No, Not Required/Type III)

Is your accreditation up to date? (Yes, No, Not Required/Type III)

SECTION 2: APPROACH TO MITIGATING THE VETERINARY SHORTAGE SITUATION

Briefly summarize how you plan to mitigate the veterinary shortage in your area, with reference to the goals and objectives in your VMLRP application. Please note that the responses to this section do not need to change on an annual basis.

1. Describe your plans to mitigate the veterinary shortage with respect to your proposed stakeholder/client involvement in veterinary service prioritization, planning, implementation and evaluation. Include a description of the relationships with local community leaders, organizations and producers in identifying strategies to mitigate the veterinary service shortage, and most effective methods of evaluating the effectiveness of strategies employed. (Limit 250 words or less.)

2. Describe your planned activities over the three-year service commitment that will address the shortage nomination. (Limit 250 words or less.)

3. Describe your planned approach to tracking your services in either public or private practice. For example, for Types I & II, the number of clients, farms, or number of animals to be served to fulfill this award. For Type III, consider the activities listed in question 2 and how you might document your progress in these areas. (Limit 250 words or less.)

4. Describe your plans to communicate increased/enhanced services in the veterinary shortage situation area. (Limit 250 words or less.)

SECTION 3: TARGET COMMUNITIES

Briefly summarize how you are serving the target communities included in your veterinary services shortage situation, with reference to the goals and objectives in your VMLRP application.

1. Describe the target communities you reached and/or served during this reporting period. Communities may include, but are not limited to farms, ranches and producers served; production and food supply animals cared for; and students and other groups mentored or educated. (Limit 250 words or less.)

SECTION 4: ACCOMPLISHMENTS FOR THE REPORTING PERIOD

1. What were your major accomplishments under the goals and objectives identified in Section 2 (Approach to Mitigating the Veterinary Shortage Situation) above during the reporting period? (Limit 250 words or less.)

2. What opportunities for training and professional development have you engaged in during the reporting period that contributed to your ability to meet the goals and objectives identified in Section 2? (Limit 250 words or less.)

3. What do you plan to do during the next reporting period to continue to accomplish your goals? (Limit 250 words or less.)

SECTION 5: PRODUCTS, OUTPUTS, PRESENTATIONS, AND PUBLICATIONS

1. Describe the significant products and outputs achieved during the reporting period resulting from your services and work in the veterinary shortage situation area. This may include Extension and outreach activities. (Limit 250 words or less.)

SECTION 6: CHALLENGES AND CHANGES

1. Describe major changes and/or challenges you encountered in providing the services you described in your application during this reporting period. Include a clear reason(s) for why any changes were made. Note if approval was required and requested from the State Animal Health Official and VMLRP. If applicable, provide special and/or additional reporting requirements specified in the award Terms and Conditions. (Limit 250 words or less.)

Public reporting for collection of information is estimated to average 60 minutes, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a current valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to NIFA, OGFM, 2312 East Bannister Road, Mail Stop 10,000, Kansas City, MO 64131, Attention Policy Section. Do not return the completed form to this address.

OMB No. 0524-0050