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Work Plan Change Form

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PD/A CRSP Change of Work Plan Form
USAID Grant No. LAG-G-00-96-90015-00

Project Leader:

Lead Institution:

Work Plan Number:

Experiment/Study Title and Code:

Check all appropriate categories of the proposed modification(s):

___ Experiment/Study Objective(s)

___ Experiment/Study Design

___ Experiment/Study Treatment Protocols (Methods)

___ Experiment/Study Location(s)

___ Experiment/Study Deliverables

___ Experiment/Study Schedule (include new dates in the description below):

Provide a brief description and justification (not to exceed one page) that addresses each type of modification proposed.