ANNEX IV : MODEL TECHNICAL REPORT

EUROPEAN COMMISSION

DIRECTORATE-GENERAL FOR AGRICULTURE AND RURAL DEVELOPMENT

Directorate B. Quality, Research & Innovation, Outreach

B.1 External communication and promotion policy

Specimen letter

(to be written on the applicant’s headed paper)

Unit AGRI.B.1 ....(date)

For the attention of the Head of Unit …(place)

Loi 130 4/053 European Commission Rue de la Loi, 130 1049 BRUSSELS BELGIUM

Subject : [Interim] [Final] (Please choose the appropriate request) technical and financial
report under grant agreement AGRI-2018-0XXX concerning information measures relating to the common agricultural policy (CAP)

Dear Sir or Madam,

I enclose the [Interim][1]* [Final] (Please choose the appropriate request) technical and financial report concerning the information measure "… " (Please insert title of the implemented information measure).

The amount requested is EUR [x], which is composed of:

(i)  EUR [x] representing [x]% of the total direct eligible costs of the information measure; and

(ii)  EUR [x] representing the flat rate financing of [x]% of the total eligible direct costs.

On behalf of the organisation which I represent, I certify the accuracy of all the information contained in these technical and financial implementation reports.

In case of further questions on these technical and financial reports, the contact person responsible for this grant agreement in our organisation is Mr/Ms (Please insert contact tel. and fax n°, and email address).

Yours sincerely,

Signature

First name, surname and title of the legally authorised person responsible within the applicant organisation

Annexes:

·  [Interim] [Final] technical report containing the information provided for in the grant agreement, to be drawn up in accordance with annex IV to the grant agreement.

·  [Interim] [Final] financial statement containing the information provided for in the grant agreement, to be drawn up in accordance with annex V to the grant agreement.

The template may be downloaded at: https://ec.europa.eu/agriculture/grants-for-information-measures_en

·  (With the request for payment of the balance) summary financial statement containing the information provided for in the grant agreement, to be drawn up in accordance with Annex V to the grant agreement.

Commission européenne/Europese Commissie, 1049 Bruxelles/Brussel, BELGIQUE/BELGIË - Tel. +32 22991111

Commission européenne/Europese Commissie, 1049 Bruxelles/Brussel, BELGIQUE/BELGIË - Tel. +32 22991111

MODEL (INTERIM) (FINAL) TECHNICAL IMPLEMENTATION REPORT

1. Programme

Programme proposed / Programme actually implemented

2. Output

Type of data / Expected
output
announced in the proposal / Output
achieved / Reason for differences / Ref. N° of supporting document (Pictures, etc.) / Reference number of the invoices and proof of payment
• number of events organized
• size of target group aimed by specific activities or events
• number of audio or audio-visual spot, published print and online adds
• number of clips, videos, documentary or films
• number newsletters distributed
• number of publications such as brochures or folders
• number of social media channels used
• number of tweets and number of contributors to social media
• output indicators specific for your activities (if applicable)

3. Results

Type of data / Expected
results
announced in the proposal / Results
achieved / Reason for differences / Ref. N° of supporting document (Pictures, etc.)
• number of stakeholders who participated in events / + signed list
• number of people who participated in events per target group / + signed list
• number of people who were reached by an audio or audio-visual spot, published print and online adds
• number of non-paid articles published in the press
• number of TV/radio audience per activity
• number of subscribers to the newsletter;
• number of visitor on the website or likes on the Facebook site
• number of followers to Social Media
• results indicators specific for your activities (if applicable)

4. Impact analysis for all the activities

4.1 Per target group:

What has been announced in the ex-ante analysis in form 3 / Expected
impact / Impact measured after the activities / How did you measure the impact?
percentage of participants stating that they are more aware of the contents and objectives of the common agricultural policy after your activities
percentage of participants stating that their knowledge of the common agricultural policy related issues have raised after your activities

4.2 In which way do you consider that your activities have been a success and what is your overall success assessment for the whole measure?

Commission européenne/Europese Commissie, 1049 Bruxelles/Brussel, BELGIQUE/BELGIË - Tel. +32 22991111

[1] The interim payment shall not exceed 30% of the maximum grant amount.