Department of Energy

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**OMB A-123, Appendix A**

**Quarterly Report**

***For***

**\<LPSO/CD/FO\>**

**\<MM/YYYY\>**

\<ENTER LPSO/CD/FO\>

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1.  **SUMMARY OF PROGRESS**

*\[Provide an executive level summary of Lead Program Secretarial Office
(LPSO), Corporate Department (CD) or Field Office (FO) progress in
implementing the A-123 assessment. Include a summary for the FO (LPSO
only) or for site contractors (FO only), and indicate whether the
LPSO/CD/FO (including site contractors) are on-track to meet corporate
A-123 milestones.*

**[Quarter 1]{.underline}**

Summary of Progress:

Is the LPSO/CD/FO on-track to meet the corporate A-123 milestones? \_\_
Y \_\_ N (Explain a \"No\" response in Section 2.0, below)

**[Quarter 2]{.underline}**

Summary of Progress:

Is the LPSO/CD/FO on-track to meet the corporate A-123 milestones? \_\_
Y \_\_ N (Explain a \"No\" response in Section 2.0, below)

**[Quarter 3]{.underline}**

Summary of Progress:

Is the LPSO/CD/FO on-track to meet the corporate A-123 milestones? \_\_
Y \_\_ N (Explain a \"No\" response in Section 2.0, below)

2.  **CHALLENGES/BARRIERS**

*\[ID any challenges, and/or barriers, identified that may effect
reaching the A-123 milestones and plans to overcome those issues.\]*

**[Quarter 1]{.underline}**

Challenge/Barrier #1:

Action Plan:

**[Quarter 2]{.underline}**

Challenge/Barrier #1:

Action Plan:

**[Quarter 3]{.underline}**

Challenge/Barrier #1:

Action Plan:

3.  **DEFICIENCIES**

*\[Summarize any key/critical deficiencies that have been identified
during the A-123 assessment. For each deficiency identified, indicate
the process and sub-process, or entity area and sub-category, where the
deficiency occurs and provide a detailed description of the deficiency.
This section should capture deficiencies that could be serious enough to
affect the final assurance statement.\]*

**[Quarter 1]{.underline}**

Deficiency #1:

Process: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Sub-Process: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Entity Area: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Sub-Category: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Description:

Remediation of this deficiency is expected by \<[fill in
date]{.underline}\>.

**[Quarter 2]{.underline}**

Deficiency #1:

Process: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Sub-Process: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Entity Area: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Sub-Category: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Description:

Remediation of this deficiency is expected by \<[fill in
date]{.underline}\>.

**[Quarter 3]{.underline}**

Deficiency #1:

Process: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Sub-Process: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Entity Area: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Sub-Category: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Description:

Remediation of this deficiency is expected by \<*[fill in
date]{.underline}*\>.

4.  **IMPLEMENTATION PLAN DEVIATIONS**

*\[Identify any known deviations from the Department's standard A-123
process and methodology as described in the DOE OMB A-123 Implementation
Plan or in the Quick Start Guides. Also, identify any significant
changes to LPSO/CD/FO Implementation Plan since the last reporting
period.\]*

**[Quarter 1]{.underline}**

**[Quarter 2]{.underline}**

**[Quarter 3]{.underline}**

5.  **SOFTWARE AND SUPPORT**

**Name and functional description of any software purchased by the
LPSO/CD/FO (or its site contractors) that is used to support the A-123
implementation:**

**Name of any support contractors hired to support the A-123
implementation:**