DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

TECHNICAL ASSISTANCE Document Code

FM-QP-DILG-CO-RO-23-02
DEVELOPMENT GUIDE Rev. No.
00
Eff. Date
06.15.21
Page
1 of 2

Technical Assistance Title:

________________________________________________________________________________________
Office: __________________________________________________ Target Date of Completion: _________________________
Resource/Budget: ____________________________________ Assigned Personnel: _________________________________

1 PLANNING
1.1 Identify Inputs (Please tick and provide the details necessary):
Applicable Statutory and Regulatory Requirements
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Previous similar designed TA
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Other References (e.g. Standard or Codes of Practice, Books, Research Papers, etc.)
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
1.2 Identify output/s (Please tick as applicable):
Activity Design Training Module Course Outline
Training Materials for Session Guide Other Document/s (Please
Participants specify):
___________________________________
___________________________________

2 ACTIVITY DESIGN:

Date Submitted Activity Design Review Activity Design Approval (Remarks, By,
(Remarks, By, Date) Date)

3 MODULE DEVELOPMENT
Date Approved Activity Design Received: __________________________________________________________

Module Title Prepared Module Module Module Module

by/Date Review Verification Validation Approval
(Remarks, (Remarks, (Remarks, (Remarks,
Date, by) Date, by) Date, by) Date, by)

THIS DOCUMENT IS CONTROLLED AND NOT TO BE REPRODUCED WITHOUT AUTHORIZATION

 DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
TECHNICAL ASSISTANCE Document Code
FM-QP-DILG-CO-RO-23-02
DEVELOPMENT GUIDE Rev. No.
00
Eff. Date
06.15.21
Page
2 of 2

4 TA MATERIALS PREPARATION

Module Title:
Lecture Program References, Forms/ Pre- Activity Pre- Post Others
Hand-out of if any Workshop Evaluation Form Test Test
Activity Templates, if and Post-
any Activity
Evaluation Form

No. of
copies

5 SESSION GUIDE PREPARATION, IF NECESSARY

Module Title Prepared Session Guide Review Session Guide
by/Date (Remarks, Date, By) Approval
(Remarks, Date, By)

6 Actual Date of Completion: ____________________________________________

THIS DOCUMENT IS CONTROLLED AND NOT TO BE REPRODUCED WITHOUT AUTHORIZATION