NOT YET APPROVED UNDER THE PAPERWORK REDUCTION ACT

FIFRA Cooperative Agreement Work Plan and Report 

Data entry in white boxes only. Asterik denotes a required field.

Cooperative Agreement Information: Work Plan/Report Status: 

*Name: 1) *Agreement Type: 3) 

*Grantee: 2) *Number of Years: 4)

Start Extended to:

*Project Period: 5)

*Work Plan and Report Applies to: 6)

Examples of Standard Reports: My Reports:

Midyear/End of Year Status Report 1

Program Area Report

Significant Issue/Innovative Activities

Activity Type Report

EPA Recommendations

Reporting Links:

References: My References:

EPA Grant Forms List

5700 Main

Grantee Information:

Outcomes

Endangered Species

Worksheets:

BudgetNarrative

Performance Measures

Work Plan/Report

Template Instructions/Help

Grant Guidance

5700 Worker Protection

5700 Container Containment

Certification and Training ‐ CPARD

Pesticides in Water ‐ POINTS
Name: John Doe Region Plan Mission Period:2012   2011‐2013

Narrative (double click Office Document to add content, or delete and insert your own by going to Insert> Object on th

Examples:    Authority to Accept Cooperative Agreement, Legislative Changes, QAPPs, Neutral Admin. Inspection schem

Microsoft Office 

Word Document

WISCONSIN DEPARTMENT OF AGRICULTURE, 

TRADE AND CONSUMER PROTECTION 

FY 2015 PRIORITY #1 

FOR SUPPLEMENTAL FUNDS 

REGION 5 STATE LABORATORY SUPPORT FOR 

CHECK SAMPLE PROGRAM PARTICIPATION 

The Bureau of Laboratory Services of the Wisconsin Department of Agriculture, 

Trade and Consumer Protection is maintaining a sustainable national check 

sample program for State and Tribal pesticide laboratories. It is assumed the 

program will be sustainable via annual subscription fees. The subscription fee 

for 2015 is $1,100 to each laboratory participating in the program. 

The Bureau of Laboratory Services is requesting support to cover the cost of the 

2015 subscription fee for five state pesticide laboratories in EPA Region 5. 

Rather than have the Bureau of Laboratory Services invoice each of the five labs 

individually, the grant proposal is to have one grant of $5,500 made to the WI 

laboratory. Because WI has no mechanism to collect a state match from the 

other state laboratories, there is no state match in this proposal. 

The total grant request is $5,500.

FTE Salary $ - 

LTE Salary $ - 

Total Salary $ - 

FTE Fringe (44.44%) - 

LTE Fringe (7.65%) $ - 

Total Fringe $ - 

Subscription Fee $ 5,500 

Total Direct $ 5,500 

State - 

Federal $ 5,500 

Federal Direct $ 5,500 

Indirect (14.76%) $ - 

Total Federal $ 5,500 

Total State - 

TOTAL $ 5,500 

(Revised 6/12/14) 

Page 1 of 2 Printed 8/5/2014
Name: John Doe Region Plan Mission 

(insert your own by going to Insert> (Text)Object on the menu above)

Use this space to insert or attach your budget 

In accordance with Grants Policy Issuance (GPI) 12‐06, EPA regional offices and applicants will negotiate a reasonable strategand national and regional guidances. The agreed‐upon outlay strategy should be reflected in the work plan. Regional officeD and E of the SF424A as a basis for the required strategy, provided they determine it will promote accelerated outlays to th

Page 1 of 4 
Program Area NPM Activity # '15 ‐ '17 Grant Guidance Activity Activity Type Work Plan Activity Description (Outputs) Due Date Status Describe Work Plan Activity 

(include any issues or innovatio

Basic Pesticide Program

OPP &OECA 01.00.01.0

Complete administrative/management, fiduciary and reporting requirements associated with this cooperative agreement.

Required Acknowledged 9/30/2015 

Basic Pesticide Program

OPP &OECA

01.00.02.0

Build or maintain staff and management expertise on pesticide program issues and enforcement (e.g. attend training opportunities through PREP, PIRT, in-service training, etc. or other appropriate activities).

Required Attend national training as opportunities

present themselves. In‐house staff training

occurs for all programs areas throughout the

year and staff attend industry sponsoredtraining as appropriate.

Ongoing 

Basic Pesticide Program

OPP &OECA 01.00.03.0 Respond to pesticide inquiries, concerns, tips, and complaints from the public. Required routinely respond to complaints or inquires as received. Ongoing 

Basic Pesticide Program

OPP

01.01.01.0

Provide outreach, communication, and training as appropriate as a result of new emerging issues, rules, regulations, and registration and registration review 

decisions.

Required Part of routine program activities. Anticipating

activities associated with WPS rule revisions.

Ongoing 

Basic Pesticide Program

OPP

01.01.02.0

Report information on all known or suspected pesticide incidents involving pollinators to OPP (beekill@epa.gov) with a copy to the regional office.

Required As appropriate. Ongoing 

Basic Pesticide Program

OECA

01.02.01.0

Project inspection numbers and report various inspection and enforcement accomplishments. The 5700 forms, ES Inspections Report, and performance measures (when final) forms contained in the FIFRA template may be used for this purpose.

Required Acknowledged. Will report on 5700 forms.

Program commits to complete 10 PEI and 17

federal marketplace inspections. We will not

hold one inspection for an import inspection,

since we have not been assigned one for many

years. Instead, we will negotiate with Region 5 if

an import inspection is requested.

MY and EOY

Basic Pesticide Program

OECA 01.02.02.0 Maintain adequate pesticide laws, rules, and associated implementation procedures. Required Part of routine program activities. Ongoing 

Basic Pesticide Program

OECA

01.02.03.0

Provide outreach and compliance assistance. Required bureau office staff and field staff routinely

provide outreach by participating at trade

shows and speaking at grower meetings,

relevant professional assocaiton seminars,

individual firms, etc.

9/30/2015 

Basic Pesticide Program

OECA

01.02.04.0

Draft, modify, or maintain a priority setting plan for inspections & investigations, addressing grantee and EPAidentified priorities (see Appendix 4, Enforcement Priority Setting Guidance; to be replaced by Compliance 

Monitoring Strategy when finalized).

Required Program areas review priorities for inspections

and outreach on an annual basis as part of

workplanning.

MY and EOY

Basic Pesticide Program

OECA

01.02.05.0

During use inspections, monitor compliance with the label, including any ESA bulletins, if applicable.

Required Activity included as part of each ag‐use

observation. ESA review is conducted for

observations involving products with bulletins.

9/30/2015 

Basic Pesticide Program

OECA

01.02.06.0

Develop/maintain a searchable inspection/investigation and case tracking system and track all inspections/investigations and cases.

Required DATCP's case tracking system is utilized to

perform these tasks

9/30/2015 

Basic Pesticide Program

OECA

01.02.07.0

Ensure a minimum of one state employee obtains and maintains an EPA inspector’s credential. Where state authority is inappropriate or inadequate, or at EPA's request, conduct FIFRA inspections with EPA credentials, according to EPA procedures and guidance documents.

Required DATCP currently has 7 EPA credentialed EES

staff. 5 other EES field staff have begun the

necessary trianing to obtain their credentials.

9/30/2015 

Basic Pesticide Program

OECA 01.02.08.0 Refer all inspections conducted with federal credentials to the region. Required Acknowledged 9/30/2015 

Basic Pesticide Program

OECA

01.02.09.0

Refer FIFRA cases to the region for enforcement consideration according to a mutually identified referral 

priority scheme.

Required As appropriate. Ongoing 

Basic Pesticide Program

OECA

01.02.10.0

Maintain and follow a matrix to develop and issue enforcement actions.

Required DATCP continues to develop and implement its

uniform enformcement guide.

9/30/2015 

Basic Pesticide Program

OECA

01.02.11.0

Follow up on significant or grantee and region agreed upon pesticide incidents referred by EPA as required by FIFRA Sections 26 and 27.

Required Acknowledged. 9/30/2015 

Basic Pesticide Program

OECA

01.02.12.0

Conduct inspections consistent with the FIFRA Inspection Manual including collection of the appropriate amount of sale and distribution records as discussed in Chapter 6 "Product Sampling".

Required Acknowledged ‐ Typically handled on a case by

case basis in consultation with appropriate

regional staff.

9/30/2015 

Basic Pesticide Program

OECA 01.02.13.0 Maintain and follow a Quality Management Plan for the overall pesticide enforcement program. Required Acknowledged 9/30/2015 
Program Area NPM Activity # '15 ‐ '17 Grant Guidance Activity Activity Type Work Plan Activity Description (Outputs) Due Date Status Describe Work Plan Activity 

(include any issues or innovatio

Basic Pesticide Program

OECA

01.02.14.0 Maintain and follow Quality Assurance Project Plan(s) for pesticide sample collection and analysis. Required QAPP will be revised and submitted to EPA for review and approval by December 2014. 9/30/2015 

Basic Pesticide Program

OECA 01.02.15.0 Maintain access to adequate laboratory support capacity. Required Acknowledged 9/30/2015 

Basic Pesticide Program

OECA

01.02.16.0

Assist EPA in enforcing regulatory actions and monitoring Section 18, Section 24(c), and Experimental Use Permits.

Required As appropriate. Program will continue to process

applications as received and establishmonitoring goals as appropriate.

Ongoing 

Worker Safety: Worker Protection Standard

OPP

02.01.01.0

Implement Part 170 worker protection standard (WPS) rule requirements and carry out program implementation requirements.

Required Program will continue to inspect with a focus on

non‐food producing establishments.

MY and EOY

Worker Safety: Worker Protection Standard

OPP

02.01.02.0

Conduct WPS-related Outreach and Education. This includes communicating existing requirements to the regulated community and informing co-regulators, the regulated community, and other program stakeholders of 

any proposed changes or new requirements.

Required As appropriate ‐ anticipating outreach for final

WPS rule revision as appropriate.

MY and EOY

Worker Safety: Worker Protection Standard

OPP

02.01.03.0

Support WPS worker & handler training. Required The program will explore the opportunity to

develop a video in the DVD format that would

be available on the University Extension (UWEX)

YouTube channel and would provide worker and

handler training.

Ongoing 

Worker Safety: Worker Protection Standard

OPP

02.01.04.0

Assure mechanisms and procedures are in place to enable 

coordination and follow-up on reports of occupational pesticide exposure, incidents or illnesses that may be related to pesticide use/misuse or WPS violations. 

Required Complaints are assigned for investigations as a

routine part of program. Procedures are in place

for these activities.

Ongoing 

Worker Safety: Worker Protection Standard

OECA

02.02.01.0

Monitor compliance with the WPS requirements associated with use of high risk pesticides, high exposure scenarios or repeat offenders. Include activities that support both WPS and product use compliance.

Required continue to identify soil fumigants as a high risk

category for WI. This is taken into consideration

for workplanning and assignments.

Ongoing 

Worker Safety: Worker Protection Standard

OECA

02.02.02.0

Grantees may refer potential violations to the regional office for appropriate action.

Required Acknowledged 9/30/2015

Worker Safety: Pesticide Applicator Certification

OPP

03.01.01.0

Implement pesticide applicator certification programs in accordance with Part 171 and EPA approved certification plans. This includes communicating information about proposed rule changes that may be published for comment to co-regulators, the regulated community, and other 

program stakeholders

Required The following categories will be revised in FY 15;

Sewer Root, Wood Preservative,

Aquatic/Mosquito, Seed Treatment & Anti‐

Fouling Paint.

Ongoing 

Worker Safety: Pesticide Applicator Certification

OPP

03.01.02.0

Meet state/and tribal certification plan requirements for plan maintenanceand annual reporting using the Certification Plan and Reporting Database(CPARD).

Required Reporting is completed annually. Plan

maintenance is evaluated on an on‐going basis.

Quarterly 

Worker Safety: Pesticide Applicator Certification

OPP

03.01.03.0

Monitor applicator training for quality assurance. Required UW PAT will schedule training sessions to occur

after Jan 1, 2015, in categories 1.1‐Field and

Vegetable, 3.0‐Turf and Landscape, 6.0‐Right of

Way, 7.1‐Structural. County UW Extension

Agents will train private applicators.

MY and EOY

Worker Safety: Pesticide Applicator Certification

OECA

03.02.01.0

Monitor compliance with the pesticide applicator certification requirements. Focus on sale/distribution of restricted use pesticides (RUPs) to applicators. One example is the fumigation sector(s) of concern.

Required Annually conduct use observation and restricted

use dealer inspections with a focus on

certification requirements. Also review as part

of complaint investigations.

MY 

Container Containment

OPP 04.01.01.0 Provide technical assistance for the regulated community, 

as appropriate.

Required Ongoing Ongoing 

Container Containment

OPP

04.01.02.0 Alert EPA to changes in state regulations and tribal codes. Required as needed. No changes in statute or rule anticipated. Ongoing 

Container Containment

OECA

04.02.01.0

Monitor compliance with C/C requirements. Focus on product and user compliance with special emphasis on agricultural retailers/distributors that repackage pesticides into refillable containers, as well as RUP and Tox 1 

category products.

Required Annual workplanning assignments will be made

to address this requirement.

Ongoing 

Soil Fumigation & Soil Fumigants

OPP

05.01.01.0

For High Use States only (CA, WA, ID, OR, WI, MI, FL, MN, NC, VA, AZ, NV, GA, CO, ND) As appropriate, provide 

technical assistance, education, and outreach, to the 

regulated community.

Required Outreach will be provided as needed and

requested by industry or as concerns arise.

Ongoing 
Program Area NPM Activity # '15 ‐ '17 Grant Guidance Activity Activity Type Work Plan Activity Description (Outputs) Due Date Status Describe Work Plan Activity 

(include any issues or innovatio

Soil Fumigation & Soil Fumigants

OECA

05.02.01.0

Monitor compliance with soil fumigation labels. Focus on product and user compliance with special emphasis on new label requirements.

Required Is monitored as part of soil fumigant inspections. Ongoing 

Pesticides in Water OPP

06.01.01.0

For pesticides scheduled for registration review, submit existing water quality monitoring data not already provided to EPA, housed in the USGS National Water Information System (NWIS), entered into EPA's STORET Data Warehouse, or otherwise readily/publicly accessible to the EPA via the web. See OPP Guidance for Submission of State and Tribal Water Quality Monitoring Data, Appendix 

5

Required Provide pesticide water quality data when

specifically requested by EPA/OPP during

registration review process.

as requested

Pesticides in Water OPP

06.01.02.0

Evaluate: Identify pesticides of concern (POC) by 

evaluating a list of pesticides of interest (pesticides 

which have the potential to threaten local resources) to determine if those pesticides are found at concentration levels locally that are approaching or exceeding reference 

points and therefore are a threat to local water quality. The base list of pesticides of interest can be found in Appendix 6.

Required

1. Collect water samples from 25 private wells

for BLS GW List pesticide analyses and nitrate.

2. Collect water samples from 15 in‐field

monitoring wells for BLS GW List pesticide and

nitrate analyses. 3. Annually review DATCP BLS

and DNR GRN private well data and in‐field

monitoring well data to determine any new

areas or products of interest.

EOY 

Pesticides in Water OPP

06.01.03.0

Manage: Actively manage pesticides of concern beyond 

the label to reduce or prevent further contamination of local water resources.

Required 1. Assign and conduct groundwater

investigations or other appropriate measures at

locations where a private well shows

exceedences of applicable ch. NR 140

Enforcement Standards or MCLs for pesticides.

2. Implement the containment program 3.

Conduct Ag‐Use Observations for atrazine use in

five atrazine prohibition areas to educate

growers and to test for illegal use of atrazine in

prohibition areas. 4. Evaluate the need to revise

ATCP 30 to add or expand Atrazine Prohibition

Areas (PAs).

9/30/2015 

Pesticides in Water OPP

06.01.04.0

Demonstrate Progress: Show the management strategy 

has been effective in reducing or maintaining concentrations below reference points .

Required Perform atrazine exceedence well survey to

demonstrate reduced atrazine concentrations in

wells inside of prohibition areas.

9/30/2015 

Pesticides in Water OPP

06.01.05.0

Re-evaluate pesticides if there is new information that 

could affect risk (e.g., new hazard data, significant increase in use, a new OPP risk assessment or registration 

decision involving a water quality concern).

Required Evaluate pesticide data for possible new

standards creation. Communicate need for any

new standards with WDNR and WDHS.

9/30/2015 

Pesticides in Water OPP

06.01.06.0

Report progress of activities in 06.01.02 – 06.01.05 in POINTS. Required Enter new pesticides of interest into POINTS by

12/30/2015

12/30/2015 

Pesticides in Water OPP

06.01.07.0

Where appropriate, consult with and/or coordinate prevention and protection of water resources with other agencies responsible for water resource protection. 

Required Actively work with WI Department of Natural

Resources and Department of Health Services

on groundwater related issues/concerns.

9/30/2015 

Pesticides in Water OECA

06.02.01.0

Monitor compliance with pesticide water quality risk mitigation measures, and respond to pesticide water contamination events especially where water quality standards or other reference points are threatened. 

Required Implement Spills, ACCP and containment

programs requiring investigations and soil/water

cleanups as appropriate to protect water

quality.

9/30/2015 

Pollinator Protection OPP

09.01.02.0

Provide continuing educational opportunities and outreach to keep growers, applicators, and handlers up-to-date on the most recent methods to protect pollinators, such as IPM, BMPs, or softer applications. 

Selected Pesticide program will be participating with UW

and WI Apriary program to develop a state

pollinator plan by 9/30/15. Outreach will be

provided following publication.

9/30/2015 

Pollinator Protection OECA

09.02.02.0

Conduct inspections and take enforcement actions directed at detecting and stopping distribution of unregistered or misbranded pesticides that could adversely affect pollinators and/or the quality of hive products.

Selected Will be targeting use observation inspections

with beekeepers to evaluate pesticide use and

hive maintenance practices. Outreach will be

provided related to state pre‐notification

regulations and DriftWatch program.

9/30/2015 
Program Area NPM Activity # '15 ‐ '17 Grant Guidance Activity Activity Type Work Plan Activity Description (Outputs) Due Date Status Describe Work Plan Activity 

(include any issues or innovatio

Spray Drift OECA

11.02.01.0

Monitor compliance with spray drift label language and report investigation findings as part of year–end reporting.

Selected Monitoring will be conducting as part of

complaint investigations with the intent of

providing a summary report with the year‐end

reporting.

9/30/2015 

Supplemental/ Special Project 

OPP

17.01.01.0 Supplemental Activity (OPP) Selected Supplemental Grant proposal #1 for Check Sample program under Narrative tab. 9/30/2015 

Supplemental/ Special Project 

OECA

17.02.01.0 Supplemental Activity (OECA) Selected See proposal description for OECA Lab Funding under Narrative tab. 9/30/2015
EPA Review

of Status EPA Comment(s) EPA Recommendation (s)
RPA# Required Program

Areas Required Type EPA Program Outcome Grantee Outcome EPA Goal

1 Basic Pesticide Program Required Maintain a basic level of pesticide program

implementation, compliance assistance, and

enforcement to ensure a viable pesticide regulatory

and enforcement program, achieve environmental

results, and maximize success with the Agency's

performance measures.

Maintain a basic level of pesticide program

implementation, compliance assistance, and

enforcement to ensure a viable pesticide

regulatory and enforcement program, achieve

environmental results, and maximize success

with the Department's performance measures.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

2 Worker Safety: Worker

Protection Standard

Required Prevent or reduce occupational pesticide

exposures, incidents and illnesses from pesticides,

especially ones that pose high risks or high

exposures to workers.

Prevent or reduce occupational pesticide

exposures, incidents and illnesses from

pesticides, especially ones that pose high risks or

high exposures to workers.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

3 Worker Safety: Pesticide

Applicator Certification

Required Prevent or reduce pesticide exposures and

incidents to humans and the environment by

increasing the competence and expertise of

applicators/handlers of restricted use pesticides.

Prevent or reduce pesticide exposures and

incidents to humans and the environment by

increasing the competence and expertise of

applicators/handlers of restricted use pesticides.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

4 Container Containment Required Prevent or reduce pesticide exposures to humans

and the environment due to damaged pesticide

containers and pesticide spills or releases.

Prevent or reduce pesticide exposures to humans

and the environment due to damaged pesticide

containers and pesticide spills or releases.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

5 Soil Fumigation & Soil

Fumigants

Required Prevent or reduce incidents resulting from soil

fumigation exposures.

Prevent or reduce incidents resulting from soil

fumigation exposures.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

6 Pesticides in Water Required Ensure that pesticides do not adversely affect the

nation’s water resources.

Ensure that pesticides do not adversely affect the

nation’s water resources.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

7 Endangered Species

Protection

Pick List Limit potential effects from pesticide use to listed

species, while at the same time not placing undue

burden on agriculture or other pesticide users.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

8 Bed Bugs Pick List Minimize the potential for pesticide

misuse/overuse and spread of bed bug infestations

by increasing understanding of bed bug prevention

and control approaches, and ensuring compliance

with accepted control approaches.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

9 Pollinator Protection Pick List Ensure pollinators are protected from adverse

effects of pesticide exposure.

Ensure pollinators are protected from adverse

effects of pesticide exposure.

EPA Strategic Plan Goal 4: Ensuring the Safety of Che

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 
10 School Integrated Pest

Management

Pick List Decrease exposure of children in public schools

(grades K‐12) to pests and pesticides through

increased adoption of verifiable and ongoing school

Integrated Pest Management (IPM) programs.

EPA Strategic Plan Goal 4: Ensuring the Safety of Ch

and Preventing Pollution, Objective 1: Ensure Chem

11 Spray Drift Pick List Reduce spray drift incidents by increasing

awareness and adoption of spray drift reduction

techniques and technologies.

Reduce spray drift incidents by increasing

awareness and adoption of spray drift reduction

techniques and technologies.

EPA Strategic Plan Goal 4: Ensuring the Safety of Ch

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

12 State and Tribal

Coordination andCommunication

Pick List Where appropriate, support tribal pesticide

program capacity building and efficient use of state

resources by improving coordination,communication and cooperation between tribes

and states to advance pesticide program

implementation and increase program efficiencies.

EPA Strategic Plan Goal 4: Ensuring the Safety of Ch

and Preventing Pollution, Objective 1: Ensure ChemEPA Strategic Plan Goal 5: Enforcing Environmental 

13 Supplemental

Distributors

Pick List Ensure that distributor products are properly

registered, formulated and labeled.

EPA Strategic Plan Goal 4: Ensuring the Safety of Ch

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

14 Contract Manufacturers Pick List Reduce instances of illegal manufacture or

mislabeling of products manufactured under

contract.

EPA Strategic Plan Goal 4: Ensuring the Safety of Ch

and Preventing Pollution, Objective 1: Ensure ChemEPA Strategic Plan Goal 5: Enforcing Environmental 

15 Imports Pick List Eliminate the distribution of unregistered,

misbranded, or adulterated imported pesticides.

EPA Strategic Plan Goal 4: Ensuring the Safety of Ch

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

16 National Data System Pick List Collect detailed enforcement data on a national

level from grantees to better target pesticide

violations and to explain the performance of the

national program.

EPA Strategic Plan Goal 4: Ensuring the Safety of Ch

and Preventing Pollution, Objective 1: Ensure Chem

EPA Strategic Plan Goal 5: Enforcing Environmental 

17 Supplemental/ Special

Project

Optional

18 Regional Guidance

Activity

Optional
United States Environmental Protection Agency Washington, DC 20460 

WDATCP FFY 15 Reporting Period: 10/1/2014 9/30/2015

Use For Cause Use For Cause

(Hrs) 400 1200 300 800 45 720 775 0 0 125 

Inspections 20 60 20 40 3 48 155 25 

8 210 70 2 10 

Accomplished: 0 0 0 0 0 000 0 0 

0 0 0 0 0 000 0 0 

Federal Facilities 0 0 0 0 0 000 0 0 

Physical 0 0 0 0 0 000 0 0 

Documentary 0 0 0 0 0 000 0 0 

(Accomplished) - (Projected) -400 -1200 -300 -800 -45 -720 -775 0 0 -125 

(20) (60) (20) (40) (3) (48) (155) 0 0 (25) 

(8) (210) 0 (70) (2) (10) 0 0 0 0 

0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 000 0 0 

Work Plan A

Percent of Total Actions Number of Cases Assessed FinesTotal Number of ActionsOther Enforcement Actions

Pesticides Enforcement Cooperative Agreement Projections & Accomplishment Summary Report

State/Tribe:

Enforcement Projections &

Accomplishments

Agricultural Nonagricultural Marketplace EUP PEI Exports Rest

Pe

D

Certified Applicator Records Imports

Projected: 

Criminal Actions ReferredAdministrative Hearings ConductedLicense/Certificate Suspension% of Inspections Resulting in Actions Cases Forwarded to EPA for ActionSamplesStop-Sale, Seizure, Quarntine or EmbargoCivil Complaints Issued

Pesticide Enforcement Actions Taken 

Samples 

Inspections: ( )Inspections Samples = 0License/Certificate RevocationLicense/Certificate Conditioning or ModificationNumber of Warnings Issued
State/Tribe: WDATCP Year: FFY15 Reporting Period: 10/1/2014 9/30/2015 Work Plan Accomplishments

Use For Cause Use For Cause Total Violations During WPS Inspecti

10 0 0 0 10 0

Physical 0000 0 1 Pesticide Safety Training 

Documentary 0000 0 2 Central Posting 

0000 0 3 Notice of Application 

0000 0 4 Entry Restrictions 

0000 0 5 Personal Protective Equipment 0000 0 6 Mix/Loading, Application Equip & Applications 

0000 0 7 Decontamination 

0000 0 8 Emergency Assistance 

0000 0 9 Information Exchange 

0000 0 10 Retaliation 

0000 0 Total Violations 

0000 00000 0

* This column is a subset of the WPS Tier I and WPS Tier II Columns combined to collect data on inspections conducted at facilities claiming the Immediate Family Exemption

< Summary

United States

Environmental Protection Agency

Washington, DC 20460

License/Certificate SuspensionLicense/Certificate RevocationLicense/Certificate Conditioning or ModificationNumber of Warnings IssuedCivil Complaints IssuedCriminal Actions ReferredAdministrative Hearings ConductedSamples Collected Number of Cases Assessed Fines

WPS Tier I WPS Tier II

Pesticides Enforcement Cooperative Agreement Accomplishment Report (WPS)

Enforcement Accomplishments This

Reporting Year

Total Inspections ConductedOther Enforcement ActionsStop-Sale, Seizure, Quarantine or EmabargoCases Forwarded to EPA for Action

Inspections at 

Facilities 

Claiming Family 

Exemption *
State/Tribe: WDATCP Year: FFY15 Reporting Period: 10/1/2014 9/30/2015 Work Plan Accomplishments

PEI Non-PEI

With

Containment Containment Total

10 38 48 Refillable Containers

Physical 0 10 10 1. Deficient labeling (i.e. cleaning and disposal instructions)

Documentary 0 0 2. Deficient container design (valves, openings

0 0 3. Producing establishment registration violati

0 0 4. No contract manufacturing agreement, resid

removal,instructions, list of acceptable contain

0 0 5. Deficient management procedures & operat

0 0 6. Record keeping

0 0 Containment

0 0

7. Secondary containment & pads – capacity/d

0 0

8. Secondary containment & pads – site manag

0 0

9. Secondary containment & pads – record kee

0 0 Total Violations 

0 0

Number of Cases Assessed Fines 0 0License/Certificate Conditioning or ModificationSamples Collected (10)Number of Warnings IssuedStop-Sale, Seizure, Quarantine or EmabargoCases Forwarded to EPA for ActionOther Enforcement ActionsCivil Complaints IssuedCriminal Actions ReferredAdministrative Hearings ConductedLicense/Certificate SuspensionLicense/Certificate Revocation

United States

Environmental Protection Agency

Washington, DC 20460

Pesticides Enforcement Cooperative Agreement Accomplishment Report (Container/Cont

Enforcement Accomplishments This

Reporting Year Container/Containment Violations

Total Inspections Conducted
State/Tribe:    Wisconsin Department of Agriculture,Trade and Consumer Protect

Fiscal Year:    FFY  15

Reporting Period:    10/1/2014 9/30/2015

Number Comment**

Total number of use and for cause inspections that

involved the use of a pesticide product that refers the

applicator to obtain and follow the instructions of an

Endangered Species Bulletin

Number of use and for cause inspections where the

pesticide applicator was alleged to be in violation of

Endangered Species labeling requirements, including

any applicable Bulletin

* This information is required for all grantees whether or not Endangered Species is selected from the pick‐list.

** To help OPP assess the effectiveness of endangered species risk mitigation requirements and Endangered Species bulletins,

please include in this comment field some information on the pesticide products and bulletin provisions that were violated.

Endangered Species Inspections Report*
[Placeholder for Enforcement Performance Measures Form when final
FIFRA Cooperative Agreement Work Plan and Report ‐ Status

Wisconsin Department of Agriculture,Trade and Consumer Protection

Activity Status Report 10/1/2014

9/30/2015

NPM (All)

Status Program Area Due Date Activity # Work Plan Activity

Description (Outputs)

Count of Status

(blank) Bed Bugs

Container Containment

Contract Manufacturers

Imports

National Data System

Pollinator Protection

Spray Drift

Supplemental Distributors

Basic Pesticide Program

Soil Fumigation & Soil Fumigants

Pesticides in Water 9/30/2017 06.01.01.0 (blank)

06.02.01.0 (blank)

06.01.02.0 (blank)

06.01.03.0 (blank)

06.01.04.0 (blank)

06.01.05.0 (blank)

06.01.06.0 (blank)

06.01.07.0 (blank)

Endangered Species Protection

Supplemental/Special Project

Regional Guidance Activity

Worker Safety: Worker Protection

Standard

Worker Safety: Pesticide Applicator

Certification 9/30/2017 03.01.01.0 (blank)

03.01.02.0 (blank)

03.01.03.0 (blank)

03.02.01.0 (blank)

School Integrated Pest Management 9/30/2017 10.01.01.0 (blank)

10.01.02.0 (blank)

State and Tribal Coordination and

Communication 9/30/2017 12.01.01.0 (blank)

12.01.02.0 (blank)

12.02.01.0 (blank)

12.01.03.0 (blank)

12.01.04.0 (blank)

12.01.05.0 (blank)

12.01.06.0 (blank)

Grand Total
Wisconsin Department of Agriculture,Trade and Consumer Protection 8/5/2014

Report by Progam Area 10/1/2014 Back

9/30/2015

NPM (All)

Program Area Status Activity # Due Date Work Plan Activity Description (Outputs) Count of Status

Bed Bugs (blank)

Container Containment (blank)

Contract Manufacturers

Imports

National Data System

Pollinator Protection

Spray Drift

Supplemental Distributors

Basic Pesticide Program

Soil Fumigation & Soil Fumigants

Pesticides in Water (blank)

Endangered Species Protection

Supplemental/Special Project

Regional Guidance Activity

Worker Safety: Worker Protection St (blank)

Worker Safety: Pesticide Applicator C (blank)

School Integrated Pest Management (blank)

State and Tribal Coordination and Co (blank)

Grand Total

11 ICR_TemplateExample.080514.xlsx 8/5/2014
Wisconsin Department of Agriculture,Trade and Consumer Protection

Significant Issues & Innovations Report 10/1/2014

9/30/2015

NPM (All)

Significant Issues/

Innovations Prog # Program Area Count of Significant Issues/ Innovations

(blank) 2 Worker Safety: Worker Protection Standard

11 Spray Drift

17 Supplemental/Special Project

None 1 Basic Pesticide Program 21

2 Worker Safety: Worker Protection Standard 5

3 Worker Safety: Pesticide Applicator Certification 4

4 Container Containment 3

5 Soil Fumigation & Soil Fumigants 2

6 Pesticides in Water 8

7 Endangered Species Protection 9

8 Bed Bugs 2

9 Pollinator Protection 4

10 School Integrated Pest Management 2

11 Spray Drift 3

12 State and Tribal Coordination and Communication 7

13 Supplemental Distributors 1

14 Contract Manufacturers 1

15 Imports 1

16 National Data System 1

17 Supplemental/Special Project 1

18 Regional Guidance Activity 2

Grand Total 77
Wisconsin Department of Agriculture,Trade and Consumer Protection

Activity Type Report 10/1/2014

9/30/2015

NPM (All)

Activity Type Prog # Program

Area Activity # Status Work Plan Activity Description (Outputs)

Optional

Required 1

Basic

Pesticide

Program

01.00.01.0 (blank) gxhk  dgttlk

01.00.02.0 (blank) (blank)

01.00.03.0 (blank) (blank)

01.01.01.0 (blank) (blank)

01.01.02.0 (blank) (blank)

01.02.01.0 (blank) (blank)

01.02.02.0 (blank) (blank)

01.02.03.0 (blank) (blank)

01.02.04.0 (blank) (blank)

01.02.05.0 (blank) (blank)

01.02.06.0 (blank) (blank)

01.02.07.0 (blank) (blank)

01.02.08.0 (blank) (blank)

01.02.09.0 (blank) (blank)

01.02.10.0 (blank) (blank)

01.02.11.0 (blank) (blank)

01.02.12.0 (blank) (blank)

01.02.13.0 (blank) (blank)

01.02.14.0 (blank) (blank)

01.02.15.0 (blank) (blank)

01.02.16.0 (blank) (blank)

2 Worker Safety: Worker Protection Standard

02.01.01.0 (blank) (blank)

02.01.02.0 (blank) (blank)

02.01.03.0 (blank) (blank)

02.01.04.0 (blank) (blank)

02.02.01.0 (blank) (blank)

02.02.02.0 (blank) (blank)

3 Worker Safety: Pesticide Applicator Certification

03.01.01.0 (blank) (blank)

03.01.02.0 (blank) (blank)

03.01.03.0 (blank) (blank)

03.02.01.0 (blank) (blank)

4 Container Containment

04.01.01.0 (blank) (blank)

04.01.02.0 (blank) (blank)

04.02.01.0 (blank) (blank)

5

Soil

Fumigati

on & Soil

Fumigan

ts

05.01.01.0 (blank) (blank)

05.02.01.0 (blank) (blank)

6

Pesticide

s in

06.01.01.0 (blank) (blank)

06.02.01.0 (blank) (blank)
Required 6 Pesticide 06.01.02.0 (blank) (blank)

06.01.03.0 (blank) (blank)

06.01.04.0 (blank) (blank)

06.01.05.0 (blank) (blank)

06.01.06.0 (blank) (blank)

06.01.07.0 (blank) (blank)

(blank)

Picklist

Grand Total
Wisconsin Department of Agriculture,Trade and Consumer Prot 

EPA Recommendations Report 

FFY 15 10/1/2014

9/30/2015

NPM (All)

Program Area Work Plan Activity Description (Outputs) EPA Recommendatio

Bed Bugs (blank)

Container Containment (blank)Contract Manufacturers (blank)Imports (blank)National Data System (blank)

Pollinator Protection (blank)Spray Drift (blank)

Supplemental Distributors (blank)Basic Pesticide Program (blank)

gxhk dgttlk

Soil Fumigation & Soil Fumigants (blank)

Pesticides in Water (blank)

Endangered Species Protection (blank)

Supplemental/Special Project (blank)Regional Guidance Activity (blank)

Worker Safety: Worker Protection Sta (blank)

Worker Safety: Pesticide Applicator Ce (blank)

School Integrated Pest Management (blank)

State and Tribal Coordination and Com (blank)

Grand Total
My Report Back
[Placeholder for Paperwork Reduction Act/Information Collection Request whe

The public reporting and recordkeeping burden for this collection of information is

estimated to average 60.5 hours per response. Send comments on the Agency's need

for this information, the accuracy of the provided burden estimates, and any suggested methods

for minimizing respondent burden, including through the use of automated collection techniques

to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T),

1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in

any correspondence. Do not send the completed template to this address.