Partnership Plan Template 2019
Form
Approved OMB
No. 0920-1175
Exp.
Date 04/30/2020
Tracking Program Grantee Partnership Plan Template Instructions
Step 1.
Start with the short-term outcomes for the entire Tracking Program. This is the same for every grantee.
EXAMPLE
Short-term (1-2 years) Outcomes – Tracking Program Public health decision makers and end-users are aware of and have access to comprehensive and integrated environmental public health data, and are able to view trends and measure impact
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Step 1b.
Your program may have identified some additional short-term outcomes or goals (for the first 1-2 years) that are specific to your state/city. They should support the Tracking Program’s overall short-term outcome (listed above).
EXAMPLE
Short-term Outcomes/Goals – Grantee
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Step 2.
Create a partnership objective (or objectives) that will help your tracking program accomplish your grantee program-specific short-term outcomes. Your objective(s) should be specific, measurable, achievable, realistic, and time-bound (SMART).
EXAMPLE
Grantee Partnership Objective: By the end of year 5, the grantee tracking program will engage at least one new partner each year to help meet the grantee program’s short-term outcomes.
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Step 3.
Determine which partner(s) you will engage and the activities you will conduct to start and maintain engagement. Indicate the short-term outcome(s) that the partner(s) will help address.
EXAMPLE
Grantee Partnership Objective: The grantee tracking program will engage at least one new partner each year to help meet the grantee program’s short-term outcomes.
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Step 4.
Submit your completed partnership plan to your CDC communications liaison (and CC your project officer).
__(Grantee Name)____ Partnership Plan
Short-term (1-2 years) Outcomes – Tracking Program
Public health decision makers and end-users are aware of and have access to comprehensive and integrated environmental public health data, and are able to view trends and measure impact
Short-term Outcomes – __(Grantee Name)__
(Grantee Name)__ Partnership Objective(s)
Partner Name |
Outcome |
Strategy/ Activity |
Activities to Engage Partners |
Timeline |
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CDC
estimates the average public reporting burden for this collection of
information as 20 hours per response, including the time for
reviewing instructions, searching existing data/information sources,
gathering and maintaining the data/information needed, and
completing and reviewing the collection of information. An agency
may not conduct or sponsor, and a person is not required to respond
to a collection of information unless it displays a currently valid
OMB control number. Send comments regarding this burden estimate or
any other aspect of this collection of information, including
suggestions for reducing this burden to CDC/ATSDR Information
Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta,
Georgia 30333; ATTN: PRA (0920-0853).
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Wilson, Holly R. (CDC/ONDIEH/NCEH) |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |