ANNEX 3A:

MODIFIED FORM A- DEPARTMENT/AGENCY PERFORMANCE REPORT

DEPARTMENT/AGENCY: ______________________________________________________________________________________
I. Streamlining and Process Improvement of the Agency’s Critical Services
TRANSACTION COSTS INCURRED
BY THE TRANSACTING NUMBER OF CLIENT/CITIZEN
SUBSTANTIVE NUMBER
NAME OF SERVICES* NUMBER OF STEPS PUBLIC/CLIENT REQUIRED TURNAROUND TIME SATISFACTION
COMPLIANCE COST OF SIGNATURES
(1) (2) FEES PAID OTHER DOCUMENTS (8) RESULTS
(5) (6)
(3) TRANSACTION (7) (9)
FEES (4)
TARGET ACCOMPL TAR- ACCOM TARGET ACCOM TARGET ACCOMPL TARGET ACCOMP TARGET ACCOM- TARGET ACCOMPL TARGET ACCOMPLI
ISHMENT GET PLISH- PLISH- ISH LISH PLISH- ISH- SH
MENT MENT MENT MENT MENT MENT MENT
Frontline Services
__% __% __% __% Reduce to Reduction 50% Citizen/Cli
Name of Service 1 reduction reductio reduction reduction 3 signa- of required reduction of
documents turnaround ent
of number n of fees of other of tures , OR time, and Satisfacti
of steps paid transacti substantive simplificati complete the
on fees compliance on of transaction
on Rating
paid cost forms within 15 days
__% __% __% __% Reduce to Reduction 50% Citizen/Cli
Name of Service 2 reduction reductio reduction reduction 3 signa- of required reduction of
documents turnaround ent
of number n of fees of other of tures - , OR time, and Satisfacti
of steps paid transacti substantive simplificati complete the
on fees compliance on of transaction
on Rating
paid cost forms within 15 days
__% __% __% __% Reduce to Reduction 50% Citizen/Cli
Name of Service 3 reduction reductio reduction reduction 3 signa- of required reduction of
documents turnaround ent
of number n of fees of other of tures , OR time, and Satisfacti
of steps paid transacti substantive simplificati complete the
on fees compliance on of transaction
on Rating
paid cost forms within 15 days

Non-Frontline Services
__% __% __% __% Reduce to Reduction 50% Citizen/Cli
Name of Service 1 reduction reductio reduction reduction 3 signa- of required reduction of
documents turnaround ent
of number n of fees of other of tures , OR time, and Satisfacti
of steps paid transacti substantive simplificati complete the
on fees compliance on of transaction
on Rating
paid cost forms within 15 days
__% __% __% __% Reduce to Reduction 50% Citizen/Cli
Name of Service 2 reduction reductio reduction reduction 3 signa- of required reduction of
documents turnaround ent
of number n of fees of other of tures - , OR time, and Satisfacti
of steps paid transacti substantive simplificati complete the
on fees compliance on of transaction
on Rating
paid cost forms within 15 days
__% __% __% __% Reduce to Reduction 50% Citizen/Cli
Name of Service3 reduction reductio reduction reduction 3 signa- of required reduction of
documents turnaround ent
of number n of fees of other of tures , OR time, and Satisfacti
of steps paid transacti substantive simplificati complete the
on fees compliance on of transaction
on Rating
paid cost forms within 15 days

* Departments/Agencies may add rows as needed.

Prepared by: Approved by:

__________________________________ _______________ __________________________________ _______________

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

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Annex 3A
 GUIDELINE ON ACCOMPLISHINGTHE
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 target and actual improvement in the Number of Steps for each service.

3. Indicate thetarget and actual improvement in the Fees Paid for each service.

4. Indicate the target and actual improvement in the Other Transaction Fees for each service.

5. Indicate the target and actual improvement in the Substantive Compliance Cost
for each service.

6. Indicate the actual improvement in the Number of Signatures for each service.

7. Indicate the target and actual improvement in the Number of Required Documentsfor each
service.

8. Indicate the target and actual improvement in the Turnaround Time for each service.

9. Indicate the target and actual improvement in the Citizen/Client Satisfaction Results for
each service.

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Annex 3A