This document provides updated guidance on outsourced GMP regulated activities beyond just contract manufacturing and analysis. It outlines responsibilities for both the contract giver and acceptor. The contract giver is ultimately responsible for ensuring outsourced activities are properly controlled and compliant with GMP. There must be a written contract between the two parties defining their duties and technical arrangements. All outsourced activities, including any subcontracting, must follow regulations and marketing authorizations. Records must be accessible to the contract giver to allow for compliance oversight.