Information Collection Request

Operational Readiness Review 2.0

ICR 202105-0920-005 · OMB 0920-1352 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised Form and Instruction New Available
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised Form and Instruction New Repair queued
Five-year Dispensing - Full Scale Exercise or Incident Form and Instruction New Available
Five-year Dispensing Full-scale Exercise or Incident Form and Instruction New Repair queued
Dispensing Throughput Drill Form and Instruction New Available
Dispensing Throughput Drill Form and Instruction New Available
Staff Notification and Assembly Drill Form and Instruction New Available
Staff Notification and Assembly Drill Form and Instruction New Repair queued
Site Activation Drill Form and Instruction New Available
Site Activation Drill Form and Instruction New Repair queued
Facility Setup Drill Form and Instruction New Available
Facility Setup Drill Form and Instruction New Repair queued
Five Year Distribution Full Scale Exercise, or Incident Form and Instruction New Available
Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse Form and Instruction New Repair queued
Vaccination of Critical Workforce - Immunization Information System (IIS) Form and Instruction New Available
Vaccination of Critical Workforce (Immunization Information System) Form and Instruction New Repair queued
Vaccination of Critical Workforce POD/DVC Setup Form and Instruction New Available
Vaccination of Critical Workforce (Point of Dispensing) Form and Instruction New Repair queued
Vaccination of Critical Workforce FE, FSE, or Incident Form and Instruction New Available
Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident) Form and Instruction New Repair queued
Joint Exercise with Emergency Management and HCC (Par 3) Form and Instruction New Available
Joint Exercise with Emergency Management and Health Care Coalitions (Par 3) Form and Instruction New Repair queued
AFN Exercise Accommodations or Actions (Par 2) Form and Instruction New Available
Access and Functional Needs Exercise Accommodations or Actions (Par 2) Form and Instruction New Repair queued
Partner Role (Par 1) Form and Instruction New Available
Partner Role (Par 1) Form and Instruction New Repair queued
Tabletop Exercise (TTX) Form and Instruction New Available
Tabletop Exercise (TTX) Form and Instruction New Repair queued
Ops 2 Form and Instruction New Available
Ops 2 Form and Instruction New Repair queued
Ops 1 Form and Instruction New Available
Ops 1 Form and Instruction New Repair queued
Capability 15 Form and Instruction New Available
Capability 15: Volunteer Management Form and Instruction New Repair queued
Capability 14 Form and Instruction New Available
Capability 14: Responder Safety and Health Form and Instruction New Repair queued
Capability 13 Form and Instruction New Available
Capability 13: Public Health Surveillance and Epidemiological Investigation Form and Instruction New Repair queued
Capability 12 Form and Instruction New Available
Capability 12: Public Health Laboratory Testing Form and Instruction New Available
Capability 11 Form and Instruction New Available
Capability 11: Nonpharmaceutical Inverventions Form and Instruction New Repair queued
Capability 10 Form and Instruction New Available
Capability 10: Medical Surge Form and Instruction New Repair queued
Capability 9 Form and Instruction New Available
Capability 9: Medical Material Management and Distribution Form and Instruction New Repair queued
Capability 8 Form and Instruction New Available
Capability 8: Medical Countermeasure Dispensing and Administration Form and Instruction New Repair queued
Capability 7 Form and Instruction New Available
Capability 7: Mass Care Form and Instruction New Repair queued
Capability 6 Form and Instruction New Available
Capability 6: Information Sharing Form and Instruction New Repair queued
Capability 5 Form and Instruction New Available
Capability 5: Fatality Management Form and Instruction New Repair queued
Capability 4 Form and Instruction New Available
Capability 4: Emergency Public Information and Warning Form and Instruction New Repair queued
Capability 3 Form and Instruction New Available
Capability 3: Emergency Operations Coordination Form and Instruction New Repair queued
Capability 2 Form and Instruction New Repair queued
Capability 2: Community Recovery Form and Instruction New Repair queued
Capability 1 Form and Instruction New Available
Capability 1: Community Preparedness Form and Instruction New Repair queued
Workforce Development and Training Form and Instruction New Available
Workforce Development and Training Form and Instruction New Repair queued
Partner Planning Sheet Form and Instruction New Available
Partner Planning Sheet Form and Instruction New Repair queued
Jurisdictional Data Sheet Form and Instruction New Available
Jurisdictional Data Sheet (JDS) Form and Instruction New Repair queued
Critical Contact Sheet Form and Instruction New Available
Critical Contact Sheet Form and Instruction New Available
Jurisdictional Structure Sheet Form and Instruction New Available
Jurisdictional Structure Sheet Form and Instruction New Available
PHEP Logic Model.jpg Supplementary Document Uploaded 2021-06-07 Repair queued
Att5-HSR Non-Research determination.pdf Supplementary Document Uploaded 2021-06-07 Repair queued
Att4 - PHEP Cooperative Agreement Funding Opportunity Announcement.pdf Supplementary Document Uploaded 2021-06-07 Available
Att3 - Title 13 Business and Credit Assistance.docx Supplementary Document Uploaded 2021-06-07 Repair queued
Att2 60-day FRN.pdf Supplementary Document Uploaded 2021-06-07 Repair queued
Att1 - Authorizing Legislation.docx Supplementary Document Uploaded 2021-06-07 Repair queued
PHEP ORR SSBv5-clean.docx Supporting Statement B Uploaded 2021-06-07 Repair queued
PHEP ORR SSAv5-clean.docx Supporting Statement A Uploaded 2021-06-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
247440 Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised Form and Instruction NewFive-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised
247440 Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised Form and Instruction New
247439 Five-year Dispensing Full-scale Exercise or Incident Form and Instruction NewFive-year Dispensing - Full Scale Exercise or Incident
247439 Five-year Dispensing Full-scale Exercise or Incident Form and Instruction New
247438 Dispensing Throughput Drill Form and Instruction NewDispensing Throughput Drill
247438 Dispensing Throughput Drill Form and Instruction New
247437 Staff Notification and Assembly Drill Form and Instruction NewStaff Notification and Assembly Drill
247437 Staff Notification and Assembly Drill Form and Instruction New
247436 Site Activation Drill Form and Instruction NewSite Activation Drill
247436 Site Activation Drill Form and Instruction New
247435 Facility Setup Drill Form and Instruction NewFacility Setup Drill
247435 Facility Setup Drill Form and Instruction New
247433 Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse Form and Instruction NewFive Year Distribution Full Scale Exercise, or Incident
247433 Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse Form and Instruction New
247432 Vaccination of Critical Workforce (Immunization Information System) Form and Instruction NewVaccination of Critical Workforce - Immunization Information System (IIS)
247432 Vaccination of Critical Workforce (Immunization Information System) Form and Instruction New
247431 Vaccination of Critical Workforce (Point of Dispensing) Form and Instruction NewVaccination of Critical Workforce POD/DVC Setup
247431 Vaccination of Critical Workforce (Point of Dispensing) Form and Instruction New
247425 Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident) Form and Instruction NewVaccination of Critical Workforce FE, FSE, or Incident
247425 Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident) Form and Instruction New
247424 Joint Exercise with Emergency Management and Health Care Coalitions (Par 3) Form and Instruction NewJoint Exercise with Emergency Management and HCC (Par 3)
247424 Joint Exercise with Emergency Management and Health Care Coalitions (Par 3) Form and Instruction New
247422 Access and Functional Needs Exercise Accommodations or Actions (Par 2) Form and Instruction NewAFN Exercise Accommodations or Actions (Par 2)
247422 Access and Functional Needs Exercise Accommodations or Actions (Par 2) Form and Instruction New
247421 Partner Role (Par 1) Form and Instruction NewPartner Role (Par 1)
247421 Partner Role (Par 1) Form and Instruction New
247420 Tabletop Exercise (TTX) Form and Instruction NewTabletop Exercise (TTX)
247420 Tabletop Exercise (TTX) Form and Instruction New
247419 Ops 2 Form and Instruction NewOps 2
247419 Ops 2 Form and Instruction New
247418 Ops 1 Form and Instruction NewOps 1
247418 Ops 1 Form and Instruction New
247383 Capability 15: Volunteer Management Form and Instruction NewCapability 15
247383 Capability 15: Volunteer Management Form and Instruction New
247382 Capability 14: Responder Safety and Health Form and Instruction NewCapability 14
247382 Capability 14: Responder Safety and Health Form and Instruction New
247381 Capability 13: Public Health Surveillance and Epidemiological Investigation Form and Instruction NewCapability 13
247381 Capability 13: Public Health Surveillance and Epidemiological Investigation Form and Instruction New
247380 Capability 12: Public Health Laboratory Testing Form and Instruction NewCapability 12
247380 Capability 12: Public Health Laboratory Testing Form and Instruction New
247379 Capability 11: Nonpharmaceutical Inverventions Form and Instruction NewCapability 11
247379 Capability 11: Nonpharmaceutical Inverventions Form and Instruction New
247378 Capability 10: Medical Surge Form and Instruction NewCapability 10
247378 Capability 10: Medical Surge Form and Instruction New
247377 Capability 9: Medical Material Management and Distribution Form and Instruction NewCapability 9
247377 Capability 9: Medical Material Management and Distribution Form and Instruction New
247376 Capability 8: Medical Countermeasure Dispensing and Administration Form and Instruction NewCapability 8
247376 Capability 8: Medical Countermeasure Dispensing and Administration Form and Instruction New
247375 Capability 7: Mass Care Form and Instruction NewCapability 7
247375 Capability 7: Mass Care Form and Instruction New
247374 Capability 6: Information Sharing Form and Instruction NewCapability 6
247374 Capability 6: Information Sharing Form and Instruction New
247373 Capability 5: Fatality Management Form and Instruction NewCapability 5
247373 Capability 5: Fatality Management Form and Instruction New
247372 Capability 4: Emergency Public Information and Warning Form and Instruction NewCapability 4
247372 Capability 4: Emergency Public Information and Warning Form and Instruction New
247368 Capability 3: Emergency Operations Coordination Form and Instruction NewCapability 3
247368 Capability 3: Emergency Operations Coordination Form and Instruction New
247367 Capability 2: Community Recovery Form and Instruction NewCapability 2
247367 Capability 2: Community Recovery Form and Instruction New
247366 Capability 1: Community Preparedness Form and Instruction NewCapability 1
247366 Capability 1: Community Preparedness Form and Instruction New
247365 Workforce Development and Training Form and Instruction NewWorkforce Development and Training
247365 Workforce Development and Training Form and Instruction New
247364 Partner Planning Sheet Form and Instruction NewPartner Planning Sheet
247364 Partner Planning Sheet Form and Instruction New
247363 Jurisdictional Data Sheet (JDS) Form and Instruction NewJurisdictional Data Sheet
247363 Jurisdictional Data Sheet (JDS) Form and Instruction New
247362 Critical Contact Sheet Form and Instruction NewCritical Contact Sheet
247362 Critical Contact Sheet Form and Instruction New
247361 Jurisdictional Structure Sheet Form and Instruction NewJurisdictional Structure Sheet
247361 Jurisdictional Structure Sheet Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2024 36 Months From Approved
2,132 0 0
3,053 0 0
94,415 0 0





Reginfo record details
36
table that charts list of burden
IC Title Form No. Form Name
Access and Functional Needs Exercise Accommodations or Actions (Par 2) n/a
Capability 10: Medical Surge n/a
Capability 11: Nonpharmaceutical Inverventions n/a
Capability 12: Public Health Laboratory Testing n/a
Capability 13: Public Health Surveillance and Epidemiological Investigation n/a
Capability 14: Responder Safety and Health n/a
Capability 15: Volunteer Management n/a
Capability 1: Community Preparedness n/a
Capability 2: Community Recovery n/a
Capability 3: Emergency Operations Coordination n/a
Capability 4: Emergency Public Information and Warning n/a
Capability 5: Fatality Management n/a
Capability 6: Information Sharing n/a
Capability 7: Mass Care n/a
Capability 8: Medical Countermeasure Dispensing and Administration n/a
Capability 9: Medical Material Management and Distribution n/a
Critical Contact Sheet n/a
Dispensing Throughput Drill n/a
Facility Setup Drill n/a
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised n/a
Five-year Dispensing Full-scale Exercise or Incident n/a
Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse n/a
Joint Exercise with Emergency Management and Health Care Coalitions (Par 3) n/a
Jurisdictional Data Sheet (JDS) n/a
Jurisdictional Structure Sheet n/a
Ops 1 n/a
Ops 2 n/a
Partner Planning Sheet n/a
Partner Role (Par 1) n/a
Site Activation Drill n/a
Staff Notification and Assembly Drill n/a
Tabletop Exercise (TTX) n/a
Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident) n/a
Vaccination of Critical Workforce (Immunization Information System) n/a
Vaccination of Critical Workforce (Point of Dispensing) n/a
Workforce Development and Training n/a

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,132 0 0 0 0 2,132
Annual Time Burden (Hours) 3,053 0 0 0 0 3,053
Annual Cost Burden (Dollars) 94,415 0 0 0 0 94,415


Reginfo record details
  No