Annex 3A Modified Form A Department Agency Performance Report

ANNEX 3A
MODIFIED FORM A – DEPARTMENT/AGENCY PERFORMANCE REPORT
DEPARTMENT/AGENCY: _________________________________________________
STREAMLINING AND PROCESS IMPROVEMENT OF GOVERNMENT SERVICES

TRANSACTION COSTS
NAME OF SERVICE1 NUMBER TURNAROUND NUMBER OF NUMBER OF PRIMARY OTHER SUBSTANTIVE CITIZEN/CLIENT
OF STEPS TIME SIGNATURES REQUIRED TRANSACTION COST TRANSACTION COST COMPLIANCE SATISFACTION
DOCUMENTS COST RESULTS
TARGET STATUS OF TARGET STATUS OF TARGET STATUS OF TARGET STATUS OF TARGET STATUS OF TARGET STATUS OF TARGET STATUS OF TARGET STATUS OF
IN STREAMLINING IN STREAMLINING IN STREAMLINING IN STREAMLINING IN STREAMLINING IN STREAMLINING IN STREAMLINING IN STREAMLINING
FY 2019 EFFORTS FY 2019 EFFORTS FY 2019 EFFORTS FY 2019 EFFORTS FY 2019 EFFORTS FY 2019 EFFORTS FY 2019 EFFORTS FY 2019 EFFORTS
Frontline Services
Name of Service 1
Name of Service 2
Name of Service 3
Non-Frontline Services
Name of Service 1
Name of Service 2
Name of Service 3
Prepared by: _______________________________ Approved by: ____________________________________
Name of Officer / Designation / Date Department Secretary/Agency Head/ Date
1
Departments/Agencies may add rows as needed.
Page 1 of 3
Annex 3A
MODIFIED FORM A – DEPARTMENT/AGENCY PERFORMANCE REPORT (PAGE 2)
I. GENERAL ADMINISTRATION AND SUPPORT SERVICES (GASS)
A. Budget Utilization Rate (BUR)

BUR FY 2018 FY 2019 REMARKS
ACCOMPLISHMENT ACCOMPLISHMENT
 Obligations BUR
 Disbursement BUR
B. Sustained Compliance with Audit Findings
TOTAL NUMBER AUDIT NUMBER OF FULLY NUMBER OF NUMER OF PERCENTAGE (%)
RECOMMENDATIONS IMPLEMENTED PARTIALLY RECOMMENDATIONS OF FULL
RECOMMENDATIONS IMPLEMENTED NOT IMPLEMENTED IMPLEMENTATION
RECOMMENDATIONS
C. Compliance with Quarterly Submission of Financial Reports

 Quarterly BFARs:
1st Quarter BFAR Date posted in online URS: __________________
2nd Quarter BFAR Date posted in online URS: __________________
3rd Quarter BFAR Date posted in online URS: __________________
4th Quarter BFAR Date posted in online URS: __________________
 COA Financial Reports Date submitted to COA: _________________

D. Compliance with Procurement Requirements
 FY 2019 APP-non CSE Date posted on TS Page: ___________________
 Indicative FY 2020 APP-non CSE Date posted on TS Page: ___________________
 FY 2020 APP-CSE Date submitted to DBM-PS: ___________________
Date posted on TS Page: ___________________
 Results of FY 2018 APCPI System Date submitted to GPPB-TSO: __________________
II. GOOD GOVERNANCE CONDITIONS (GGC)
A. Maintain/Update the Transparency Seal Date updated TS with all requirements: ___________
B. Post/Update PhilGEPS Postings Date updated PhilGEPS postings: _______________
If UNABLE to post or update the BAC Resolution, Notices of Award/Bid Results, Actual Approved/ Awarded
Contracts and/or Notices to Proceed/Purchase Orders for transactions above one million
(PHP 1,000,000), submit a letter of explanation
to AO 25 Secretariat (See Annex 6). Date submitted the explanation/s: ______________
C. Certification of the Agency’s QMS
 Posting of certification on TS Page Date posted on TS Page: _____________________
 Submission of ISO QMS certification Date submitted to SPIB: _____________________
III. Other cross-cutting requirements
A. Establishment and Conduct of Agency Date posted on TS page: _____________________

Review and Compliance Procedure of SALN
B. Compliance with FOI Program
 People’s FOI Manual Date emailed to PCOO: _____________________
Date posted on TS Page: _____________________
 Agency Information Inventory Date emailed to PCOO: _____________________
Date posted on TS Page: _____________________
 2019 Summary Report and 2019 FOI Date emailed to PCOO: _____________________
Registry Date posted on TS Page: _____________________
 Screenshot of agency’s home page Date emailed to PCOO: _____________________
C. Agency’s System of Ranking Delivery Units Date posted on TS page: _____________________
Prepared by :_______________________________ Approved by : ___________________________

Name of Officer / Designation / Date Department Secretary/Agency Head / Date
Page 2 of 3
Annex 3A
GUIDELINES IN ACCOMPLISHING
FORM A – MODIFIED DEPARTMENT/AGENCY PERFORMANCE REPORT
I. Streamlining and Process Improvement of the Agency’s Critical Service
1. Indicate the name of the frontline/non-frontline service.
2. Indicate the Targets in FY 2019 and FY 2019 Status of Streamlining Efforts for each service.
3. Indicate the Target in FY 2019 and FY 2019 Status of Streamlining Efforts in the Fees Paid for each
service.
4. Indicate Target in FY 2019 and FY 2019 Status of Streamlining Efforts in the Other Transaction Fees
for each service.
5. Indicate the Target in FY 2019 and FY 2019 Status of Streamlining Efforts in the Substantive
Compliance Cost for each service.
6. Indicate the Target in FY 2019 and FY 2019 Status of Streamlining Efforts in the Number of
Signatures for each service.
7. Indicate the Target in FY 2019 and FY 2019 Status of Streamlining Efforts in the Number of Required
Documents for each service.
8. Indicate the Target in FY 2019 and FY 2019 Status of Streamlining Efforts in the Turnaround Time for
each service.
9. Indicate the Target in FY 2019 and FY 2019 Status of Streamlining Efforts in the Citizen/Client
Satisfaction Results for each service.
II. General Administration and Support Services (GASS)
1. Indicate the FY 2018 and FY 2019 Accomplishments for the BUR.
2. Indicate the results of agency’s compliance with COA audit findings.
3. Indicate the required dates for the Quarterly BFARs and COA Financial Reports.
4. Indicate the required dates for the compliance with the each Procurement Requirements.
III. Good Governance Conditions
1. Indicate the date when all requirements for TS were complied with.
2. Indicate the most recent date when PhilGEPS postings were updated.
3. Indicate the required dates for compliance with QMS Certification requirement.
IV. Other Cross-Cutting Requirements
4. Indicate the date when the Review and Compliance Procedure was posted in the TS page.
5. Indicate the required dates for the compliance with FOI program.
6. Indicate the date when the Agency’s System of Ranking Delivery Units was posted in the TS page.
Page 3 of 3
Annex 3A

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ANNEX 3A

MODIFIED FORM A – DEPARTMENT/AGENCY PERFORMANCE REPORT

STREAMLINING AND PROCESS IMPROVEMENT OF GOVERNMENT SERVICES

Prepared by: _______________________________ Approved by: ____________________________________

Name of Officer / Designation / Date Department Secretary/Agency Head/ Date

I. GENERAL ADMINISTRATION AND SUPPORT SERVICES (GASS)

A. Budget Utilization Rate (BUR)

C. Compliance with Quarterly Submission of Financial Reports

 COA Financial Reports Date submitted to COA: _________________

II. GOOD GOVERNANCE CONDITIONS (GGC)

III. Other cross-cutting requirements

A. Establishment and Conduct of Agency Date posted on TS page: _____________________

C. Agency’s System of Ranking Delivery Units Date posted on TS page: _____________________

Prepared by :_______________________________ Approved by : ___________________________

I. Streamlining and Process Improvement of the Agency’s Critical Service

1. Indicate the name of the frontline/non-frontline service.

II. General Administration and Support Services (GASS)

1. Indicate the FY 2018 and FY 2019 Accomplishments for the BUR.

2. Indicate the results of agency’s compliance with COA audit findings.

III. Good Governance Conditions

IV. Other Cross-Cutting Requirements

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