ANNEX XIIANNUAL REPORT DOCUMENTS (ARTICLE 46(2))

PART II

SHEET C

SCRUTINY REPORT FOR THE PERIOD …

(Article 86(1) of Regulation (EU) No 1306/2013)

Potential irregularities discovered in relation to F1CMO support budget headings in respect of the F1CMO support financial year …Scrutiny programme …

C(1) F2CMO support Budget Article or Item No.

C(2)Number of potential irregularities discovered

C(3)Number of payments concerned

C(4)Number of undertakings concerned

C(5)Estimated value of potential irregularities

C(6)Description and nature of each potential irregularity discovered, the reference number(s) of the undertaking(s) concerned and the OLAF reference number(s) (IMS notification numbers)

Totals: