Activity Progress Report and Work Plan Tool

OD2A Annual Progress Report Instructional Tool

Strategy 1

Annual Progress Report (APR)
Surveillance (required)
1 Collect and disseminate timely emergency department (ED) data on suspected all drug, all opioid, heroin, and stimulant overdoses.
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OPTIONAL REPORTING ACTIVITY: DOES YOUR JURISDICTION AGREE TO REPORT ED VISITS AND HOSPITALIZATIONS INVOLVING SUSPECTED ALL DRUG, ALL OPIOID, HEROIN, AND ALL STIMULANT OVERDOSES FROM BILLING/DISCHARGE DATA TO CDC ON A QUARTERLY BASIS? Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	☐Add additional activities as necessary

Strategy 2

Year 2 Annual Progress Report
Surveillance (required)
2 Collect and disseminate descriptions of drug overdose death circumstances using death certificates and medical examiner/coroner data
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned. It should also discuss changes you plan to make based on the lessons that were learned. Click or tap here to enter text.
	OPTIONAL SUDORS ENHANCEMENT: DOES YOUR JURISDICTION AGREE TO COLLABORATE WITH ME/CS OR A FEW HIGH BURDEN AREAS TO COLLECT PRELIMINARY RAPID COUNT DATA ON SUSPECTED OPIOID OVERDOSE DEATHS (IE. OVERDOSE DEATHS SUSPECTED TO INVOLVE OPIOID(S) BEFORE RECEIPT OF FORENSIC TOXICOLOGY DATA) WITHIN A MONTH OF DEATH, AND PREFERABLY FASTER? Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 3

Year 2 Annual Progress Report
Surveillance (required)
3 Implement innovative surveillance to support NOFO interventions
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned. the overall lessons learned from implementing activities for this strategy. Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 4 (Base)

Year 2 Annual Progress Report
Prevention
4 Base Prescription Drug Monitoring Programs (PDMPs)
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 4 Enhanced

Year 2 Annual Progress Report
Prevention
4 Enhanced Prescription Drug Monitoring Programs Funding Activities
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 5

Year 2 Annual Progress Report
Prevention
5 Integration of State and Local Prevention and Response Efforts
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 6

Year 2 Annual Progress Report
Prevention
6 Establishing Linkages to Care
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 7

Year 2 Annual Progress Report
Prevention
7 Providers and Health Systems Support
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 8

Year 2 Annual Progress Report
Prevention (Optional)
8 Partnerships with Public Safety and First Responders
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 9

Year 2 Annual Progress Report
Prevention (Optional)
9 Empowering Individuals to Make Safer Choices
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Strategy 10

Year 2 Annual Progress Report
Prevention (Optional)
10 Prevention Innovation Projects
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

Peer to Peer Learning Coordinators

Year 2 Annual Progress Report
Prevention (Optional)
Peer to Peer Learning Coordinators
Summary	BRIEFLY DESCRIBE PROGRESS TO DATE ON THIS STRATEGY AND WHAT FACTORS HAVE FACILITATED YOUR PROGRESS. (6000-CHARACTER MAX) This field should describe the factors that you have in place to ensure the Strategy activities will be successful. It should also describe what aspects facilitated your success. Click or tap here to enter text.
	BRIEFLY DESCRIBE HOW YOUR JURISDICTION OVERCAME PROGRAMMATIC CHALLENGES/BARRIERS IMPLEMENTING THIS STRATEGY (EG. BUDGETARY, POLITICAL, ETC) (6000-CHARACTER MAX) This field should describe overall CHALLENGES or barriers that your program has faced to implement activities in this strategy. Note: You will be able to add information about specific CHALLENGES for each activity below) Click or tap here to enter text.
	PROVIDE EXAMPLES OF HOW THE FINDINGS OF THE ACTIVITY WERE DISSEMINATED? (6000-CHARACTER MAX) This field should describe what if any, lessons were learned implementing this activity? Describe implementation lessons learned here (e.g., information others might want to know when implementing a similar activity in their jurisdiction) Was information from this activity disseminated into products? Were resources developed, papers? What are some lessons learned (at the strategy level) and what are you going to do with these lessons that you learned? What are some lessons learned and what are some changes that you plan to make based on the lessons learned?Click or tap here to enter text.
	OBJECTIVE (pre-populated from workplan)
	MAJOR ACTIVITY (pre-populated from workplan)
	OBJECTIVE DESCRIPTION (pre-populated from workplan)
	OUTCOMES (pre-populated from workplan) SHORT-TERM INTERMEDIATE LONG-TERM
	BARRIERS TO REACHING THIS OBJECTIVE (pre-populated from the workplan)
	FACILITATORS FOR REACHING THIS OBJECTIVE (pre-populated from the workplan)
	OBJECTIVE ACTIVITIES
	ACTIVITY #1: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe your progress to date for the activity and describe any successes that have occurred for the activity. Include successes here; include where is the activity to date. Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONALOUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #2: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe any progress that has occurred to date for the activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #3 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #4: (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	ACTIVITY #5 : (pre-populated from the workplan)
	ACTIVITY DESCRIPTION: (pre-populated from the workplan)
	TIMELINE FOR COMPLETION:
	START DATE (pre-populated from the workplan)	END DATE (pre-populated from the workplan)	COMPLETION STATUS This field should reflect the status of the activity at the time of reporting
	DESCRIBE YOUR PROGRESS TO DATE FOR THIS ACTIVITY: (6000-CHARACTER MAX) This field should describe progress that has occurred to date for this activity. Include successes here; include where is the activity to date Click or tap here to enter text.
	CHALLENGES (6000-CHARACTER MAX) Describe any CHALLENGES that have affected your jurisdiction’s ability to achieve annual and project-period outcomes for this activity. CHALLENGES may include impacts of the COVID-19 Public Health Emergency, hiring abilities, competing priorities, etc. Click or tap here to enter text.
	TARGET POPULATION (pre-populated from the workplan)
	WHAT STEPS WERE TAKEN TO ENGAGE EACH TARGET POPULATION? (6000-CHARACTER MAX) This field should describe how you have engaged your target populations (mentioned above) in this activity. Click or tap here to enter text.
	MULTI SECTOR COLLABORATION: (pre-populated from the workplan)
	STAFF AND ADMINISTRATIVE ROLES AND FUNCTIONS TO SUPPORT THE ACTIVITY INCLUDING EVALUATION FUNCTIONS (pre-populated from the workplan)
	REPORT PROGRESS ON THE OUTPUT INCLUDING ADDITIONAL OUTPUTS THAT MAY HAVE BEEN GENERATED BY THIS ACTIVITY (6000-CHARACTER MAX) This field should outline the progress on each output indicated in your workplan and discuss any deliverables (products or services) created from the activity. Provide concrete examples; include plans for translation and dissemination. Click or tap here to enter text.
	Technical Assistance Need (6000 CHARACTER MAX) This field should describe what CDC can do to help you with your activity.
	DO YOU WANT TO ADD THIS ACTIVITY TO NEXT YEAR’S WORK PLAN? ☐ YES ☐ NO
	Add additional activities as necessary

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