Operational Readiness Review 2.0

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1352 COVID-19 Pandemic Response (RSP)	Form and Instruction	New	Available
Form 0920-1352 COVID-19 Pandemic Response (RSP)	Form and Instruction	New	Repair queued
Form 0920-1352 Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC)	Form and Instruction	New	Available
Form 0920-1352 Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC)	Form and Instruction	New	Repair queued
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised	Form and Instruction	Unchanged	Available
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised	Form and Instruction	Unchanged	Repair queued
Five-year Dispensing - Full Scale Exercise or Incident	Form and Instruction	Modified	Available
Five-year Dispensing Full-scale Exercise or Incident	Form and Instruction	Modified	Repair queued
Form 0920-1352 Dispensing Throughput Drill 01MAR2022	Form and Instruction	Modified	Available
Dispensing Throughput Drill	Form and Instruction	Modified	Available
Dispensing Throughput Drill	Form and Instruction	Modified	Available
Form 0920-1352 Staff Notification and Assembly Drill	Form and Instruction	Modified	Available
Staff Notification and Assembly Drill	Form and Instruction	Modified	Available
Staff Notification and Assembly Drill	Form and Instruction	Modified	Repair queued
Form 0920-1352 Site Activation Drill 01MAR2022	Form and Instruction	Modified	Available
Site Activation Drill	Form and Instruction	Modified	Available
Site Activation Drill	Form and Instruction	Modified	Repair queued
Form 0920-1352 Facility Setup Drill 01MAR2022	Form and Instruction	Modified	Available
Facility Setup Drill	Form and Instruction	Modified	Available
Facility Setup Drill	Form and Instruction	Modified	Repair queued
Form 0920-1352 Five-Year Pan-Flu FSE or Incident 01MAR2022	Form and Instruction	Modified	Available
Form 0920-1352 Five-Year Distribution FSE 01MAR2022	Form and Instruction	Modified	Available
Five Year Distribution Full Scale Exercise, or Incident	Form and Instruction	Modified	Available
Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse	Form and Instruction	Modified	Repair queued
Form 0920-1352 Vaccination of Critical Workforce IIS 01MAR2022	Form and Instruction	Modified	Available
Vaccination of Critical Workforce - Immunization Information System (IIS)	Form and Instruction	Modified	Available
Vaccination of Critical Workforce (Immunization Information System)	Form and Instruction	Modified	Repair queued
Form 0920-1352 Vaccination of Critical Workforce POD DVC 01MAR2022	Form and Instruction	Modified	Available
Vaccination of Critical Workforce POD/DVC Setup	Form and Instruction	Modified	Available
Vaccination of Critical Workforce (Point of Dispensing)	Form and Instruction	Modified	Repair queued
Form 0920-1352 Vaccination of Critical Workforce FE FSE or Incident 01MAR2022	Form and Instruction	Modified	Available
Vaccination of Critical Workforce FE, FSE, or Incident	Form and Instruction	Modified	Available
Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident)	Form and Instruction	Modified	Repair queued
Joint Exercise with Emergency Management and HCC (Par 3)	Form and Instruction	Unchanged	Available
Joint Exercise with Emergency Management and Health Care Coalitions (Par 3)	Form and Instruction	Unchanged	Repair queued
AFN Exercise Accommodations or Actions (Par 2)	Form and Instruction	Unchanged	Repair queued
Access and Functional Needs Exercise Accommodations or Actions (Par 2)	Form and Instruction	Unchanged	Repair queued
Partner Role (Par 1)	Form and Instruction	Unchanged	Available
Partner Role (Par 1)	Form and Instruction	Unchanged	Repair queued
Form 0920-1352 Tabletop Exercise Drill 01MAR2022	Form and Instruction	Modified	Available
Tabletop Exercise (TTX)	Form and Instruction	Modified	Available
Tabletop Exercise (TTX)	Form and Instruction	Modified	Repair queued
Form 0920-1352 Ops 2 01MAR2022	Form and Instruction	Modified	Available
Ops 2	Form and Instruction	Modified	Available
Ops 2	Form and Instruction	Modified	Repair queued
Form 0920-1352 Ops 1 01MAR2022	Form and Instruction	Modified	Available
Ops 1	Form and Instruction	Modified	Available
Ops 1	Form and Instruction	Modified	Repair queued
Capability 15	Form and Instruction	Unchanged	Available
Capability 15: Volunteer Management	Form and Instruction	Unchanged	Repair queued
Form 0920-1352 Capability 14 01MAR2022	Form and Instruction	Modified	Available
Capability 14	Form and Instruction	Modified	Available
Capability 14: Responder Safety and Health	Form and Instruction	Modified	Repair queued
Form 0920-1352 Capability 13 01MAR2022	Form and Instruction	Modified	Repair queued
Capability 13	Form and Instruction	Modified	Available
Capability 13: Public Health Surveillance and Epidemiological Investigation	Form and Instruction	Modified	Repair queued
Capability 12	Form and Instruction	Unchanged	Available
Capability 12: Public Health Laboratory Testing	Form and Instruction	Unchanged	Repair queued
Form 0920-1352 Capability 11 01MAR2022	Form and Instruction	Modified	Available
Capability 11	Form and Instruction	Modified	Available
Capability 11: Nonpharmaceutical Inverventions	Form and Instruction	Modified	Repair queued
Form 0920-1352 Capability 10 01MAR2022	Form and Instruction	Modified	Available
Capability 10	Form and Instruction	Modified	Available
Capability 10: Medical Surge	Form and Instruction	Modified	Available
Form 0920-1352 Capability 9 01MAR2022	Form and Instruction	Modified	Available
Capability 9	Form and Instruction	Modified	Available
Capability 9: Medical Material Management and Distribution	Form and Instruction	Modified	Repair queued
Form 0920-1352 Capability 8 01MAR2022	Form and Instruction	Modified	Repair queued
Capability 8	Form and Instruction	Modified	Available
Capability 8: Medical Countermeasure Dispensing and Administration	Form and Instruction	Modified	Repair queued
Form 0920-1352 Capability 7 01MAR2022	Form and Instruction	Modified	Available
Capability 7	Form and Instruction	Modified	Available
Capability 7: Mass Care	Form and Instruction	Modified	Available
Form 0920-1352 Capability 6 01MAR2022	Form and Instruction	Modified	Available
Capability 6	Form and Instruction	Modified	Available
Capability 6: Information Sharing	Form and Instruction	Modified	Repair queued
Form 0920-1352 Capability 5	Form and Instruction	Modified	Available
Capability 5	Form and Instruction	Modified	Available
Capability 5: Fatality Management	Form and Instruction	Modified	Repair queued
Form 0920-1352 Capability 4	Form and Instruction	Modified	Available
Capability 4	Form and Instruction	Modified	Available
Capability 4: Emergency Public Information and Warning	Form and Instruction	Modified	Repair queued
Form 0920-1352 Capability 3 01MAR2022	Form and Instruction	Modified	Repair queued
Capability 3	Form and Instruction	Modified	Available
Capability 3: Emergency Operations Coordination	Form and Instruction	Modified	Repair queued
Capability 2	Form and Instruction	Unchanged	Available
Capability 2: Community Recovery	Form and Instruction	Unchanged	Repair queued
Form 0920-1352 Capability 1 01MAR2022	Form and Instruction	Modified	Available
Capability 1	Form and Instruction	Modified	Available
Capability 1: Community Preparedness	Form and Instruction	Modified	Repair queued
Form 0920-1352 Workforce Development and Training	Form and Instruction	Modified	Available
Workforce Development and Training	Form and Instruction	Modified	Available
Workforce Development and Training	Form and Instruction	Modified	Repair queued
Form 0920-1352 Partner Planning Sheet	Form and Instruction	Modified	Available
Partner Planning Sheet	Form and Instruction	Modified	Available
Partner Planning Sheet	Form and Instruction	Modified	Repair queued
Form 0920-1352 Jurisdictional Data Sheet	Form and Instruction	Modified	Available
Jurisdictional Data Sheet	Form and Instruction	Modified	Available
Jurisdictional Data Sheet (JDS)	Form and Instruction	Modified	Repair queued
Form 0920-1352 Critical Contact Sheet 01MAR2022	Form and Instruction	Modified	Repair queued
Critical Contact Sheet	Form and Instruction	Modified	Available
Critical Contact Sheet	Form and Instruction	Modified	Repair queued
Jurisdictional Structure Sheet	Form and Instruction	Unchanged	Available
Jurisdictional Structure Sheet	Form and Instruction	Unchanged	Repair queued
0920-1352 NonsSubstantive Change Request Justification 220215.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-03-01	Repair queued
PHEP Logic Model.jpg	Supplementary Document	Uploaded 2021-06-07	Repair queued
Att5-HSR Non-Research determination.pdf	Supplementary Document	Uploaded 2021-06-07	Repair queued
Att4 - PHEP Cooperative Agreement Funding Opportunity Announcement.pdf	Supplementary Document	Uploaded 2021-06-07	Repair queued
Att3 - Title 13 Business and Credit Assistance.docx	Supplementary Document	Uploaded 2021-06-07	Available
Att2 60-day FRN.pdf	Supplementary Document	Uploaded 2021-06-07	Repair queued
Att1 - Authorizing Legislation.docx	Supplementary Document	Uploaded 2021-06-07	Repair queued
PHEP ORR SSBv5-clean.docx	Supporting Statement B	Uploaded 2021-06-07	Repair queued
PHEP ORR SSAv5-clean.docx	Supporting Statement A	Uploaded 2021-06-07	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
251896	COVID-19 Pandemic Response (RSP)	Form and Instruction	New	COVID-19 Pandemic Response (RSP)
251896	COVID-19 Pandemic Response (RSP)	Form and Instruction	New
251892	Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC)	Form and Instruction	New	Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC)
251892	Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC)	Form and Instruction	New
247440	Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised	Form and Instruction	Unchanged	Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised
247440	Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised	Form and Instruction	Unchanged
247439	Five-year Dispensing Full-scale Exercise or Incident	Form and Instruction	Modified	Five-year Dispensing - Full Scale Exercise or Incident
247439	Five-year Dispensing Full-scale Exercise or Incident	Form and Instruction	Modified
247438	Dispensing Throughput Drill	Form and Instruction	Modified	Dispensing Throughput Drill 01MAR2022
247438	Dispensing Throughput Drill	Form and Instruction	Modified	Dispensing Throughput Drill
247438	Dispensing Throughput Drill	Form and Instruction	Modified
247437	Staff Notification and Assembly Drill	Form and Instruction	Modified	Staff Notification and Assembly Drill
247437	Staff Notification and Assembly Drill	Form and Instruction	Modified	Staff Notification and Assembly Drill
247437	Staff Notification and Assembly Drill	Form and Instruction	Modified
247436	Site Activation Drill	Form and Instruction	Modified	Site Activation Drill 01MAR2022
247436	Site Activation Drill	Form and Instruction	Modified	Site Activation Drill
247436	Site Activation Drill	Form and Instruction	Modified
247435	Facility Setup Drill	Form and Instruction	Modified	Facility Setup Drill 01MAR2022
247435	Facility Setup Drill	Form and Instruction	Modified	Facility Setup Drill
247435	Facility Setup Drill	Form and Instruction	Modified
247433	Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse	Form and Instruction	Modified	Five-Year Pan-Flu FSE or Incident 01MAR2022
247433	Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse	Form and Instruction	Modified	Five-Year Distribution FSE 01MAR2022
247433	Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse	Form and Instruction	Modified	Five Year Distribution Full Scale Exercise, or Incident
247433	Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse	Form and Instruction	Modified
247432	Vaccination of Critical Workforce (Immunization Information System)	Form and Instruction	Modified	Vaccination of Critical Workforce IIS 01MAR2022
247432	Vaccination of Critical Workforce (Immunization Information System)	Form and Instruction	Modified	Vaccination of Critical Workforce - Immunization Information System (IIS)
247432	Vaccination of Critical Workforce (Immunization Information System)	Form and Instruction	Modified
247431	Vaccination of Critical Workforce (Point of Dispensing)	Form and Instruction	Modified	Vaccination of Critical Workforce POD DVC 01MAR2022
247431	Vaccination of Critical Workforce (Point of Dispensing)	Form and Instruction	Modified	Vaccination of Critical Workforce POD/DVC Setup
247431	Vaccination of Critical Workforce (Point of Dispensing)	Form and Instruction	Modified
247425	Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident)	Form and Instruction	Modified	Vaccination of Critical Workforce FE FSE or Incident 01MAR2022
247425	Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident)	Form and Instruction	Modified	Vaccination of Critical Workforce FE, FSE, or Incident
247425	Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident)	Form and Instruction	Modified
247424	Joint Exercise with Emergency Management and Health Care Coalitions (Par 3)	Form and Instruction	Unchanged	Joint Exercise with Emergency Management and HCC (Par 3)
247424	Joint Exercise with Emergency Management and Health Care Coalitions (Par 3)	Form and Instruction	Unchanged
247422	Access and Functional Needs Exercise Accommodations or Actions (Par 2)	Form and Instruction	Unchanged	AFN Exercise Accommodations or Actions (Par 2)
247422	Access and Functional Needs Exercise Accommodations or Actions (Par 2)	Form and Instruction	Unchanged
247421	Partner Role (Par 1)	Form and Instruction	Unchanged	Partner Role (Par 1)
247421	Partner Role (Par 1)	Form and Instruction	Unchanged
247420	Tabletop Exercise (TTX)	Form and Instruction	Modified	Tabletop Exercise Drill 01MAR2022
247420	Tabletop Exercise (TTX)	Form and Instruction	Modified	Tabletop Exercise (TTX)
247420	Tabletop Exercise (TTX)	Form and Instruction	Modified
247419	Ops 2	Form and Instruction	Modified	Ops 2 01MAR2022
247419	Ops 2	Form and Instruction	Modified	Ops 2
247419	Ops 2	Form and Instruction	Modified
247418	Ops 1	Form and Instruction	Modified	Ops 1 01MAR2022
247418	Ops 1	Form and Instruction	Modified	Ops 1
247418	Ops 1	Form and Instruction	Modified
247383	Capability 15: Volunteer Management	Form and Instruction	Unchanged	Capability 15
247383	Capability 15: Volunteer Management	Form and Instruction	Unchanged
247382	Capability 14: Responder Safety and Health	Form and Instruction	Modified	Capability 14 01MAR2022
247382	Capability 14: Responder Safety and Health	Form and Instruction	Modified	Capability 14
247382	Capability 14: Responder Safety and Health	Form and Instruction	Modified
247381	Capability 13: Public Health Surveillance and Epidemiological Investigation	Form and Instruction	Modified	Capability 13 01MAR2022
247381	Capability 13: Public Health Surveillance and Epidemiological Investigation	Form and Instruction	Modified	Capability 13
247381	Capability 13: Public Health Surveillance and Epidemiological Investigation	Form and Instruction	Modified
247380	Capability 12: Public Health Laboratory Testing	Form and Instruction	Unchanged	Capability 12
247380	Capability 12: Public Health Laboratory Testing	Form and Instruction	Unchanged
247379	Capability 11: Nonpharmaceutical Inverventions	Form and Instruction	Modified	Capability 11 01MAR2022
247379	Capability 11: Nonpharmaceutical Inverventions	Form and Instruction	Modified	Capability 11
247379	Capability 11: Nonpharmaceutical Inverventions	Form and Instruction	Modified
247378	Capability 10: Medical Surge	Form and Instruction	Modified	Capability 10 01MAR2022
247378	Capability 10: Medical Surge	Form and Instruction	Modified	Capability 10
247378	Capability 10: Medical Surge	Form and Instruction	Modified
247377	Capability 9: Medical Material Management and Distribution	Form and Instruction	Modified	Capability 9 01MAR2022
247377	Capability 9: Medical Material Management and Distribution	Form and Instruction	Modified	Capability 9
247377	Capability 9: Medical Material Management and Distribution	Form and Instruction	Modified
247376	Capability 8: Medical Countermeasure Dispensing and Administration	Form and Instruction	Modified	Capability 8 01MAR2022
247376	Capability 8: Medical Countermeasure Dispensing and Administration	Form and Instruction	Modified	Capability 8
247376	Capability 8: Medical Countermeasure Dispensing and Administration	Form and Instruction	Modified
247375	Capability 7: Mass Care	Form and Instruction	Modified	Capability 7 01MAR2022
247375	Capability 7: Mass Care	Form and Instruction	Modified	Capability 7
247375	Capability 7: Mass Care	Form and Instruction	Modified
247374	Capability 6: Information Sharing	Form and Instruction	Modified	Capability 6 01MAR2022
247374	Capability 6: Information Sharing	Form and Instruction	Modified	Capability 6
247374	Capability 6: Information Sharing	Form and Instruction	Modified
247373	Capability 5: Fatality Management	Form and Instruction	Modified	Capability 5
247373	Capability 5: Fatality Management	Form and Instruction	Modified	Capability 5
247373	Capability 5: Fatality Management	Form and Instruction	Modified
247372	Capability 4: Emergency Public Information and Warning	Form and Instruction	Modified	Capability 4
247372	Capability 4: Emergency Public Information and Warning	Form and Instruction	Modified	Capability 4
247372	Capability 4: Emergency Public Information and Warning	Form and Instruction	Modified
247368	Capability 3: Emergency Operations Coordination	Form and Instruction	Modified	Capability 3 01MAR2022
247368	Capability 3: Emergency Operations Coordination	Form and Instruction	Modified	Capability 3
247368	Capability 3: Emergency Operations Coordination	Form and Instruction	Modified
247367	Capability 2: Community Recovery	Form and Instruction	Unchanged	Capability 2
247367	Capability 2: Community Recovery	Form and Instruction	Unchanged
247366	Capability 1: Community Preparedness	Form and Instruction	Modified	Capability 1 01MAR2022
247366	Capability 1: Community Preparedness	Form and Instruction	Modified	Capability 1
247366	Capability 1: Community Preparedness	Form and Instruction	Modified
247365	Workforce Development and Training	Form and Instruction	Modified	Workforce Development and Training
247365	Workforce Development and Training	Form and Instruction	Modified	Workforce Development and Training
247365	Workforce Development and Training	Form and Instruction	Modified
247364	Partner Planning Sheet	Form and Instruction	Modified	Partner Planning Sheet
247364	Partner Planning Sheet	Form and Instruction	Modified	Partner Planning Sheet
247364	Partner Planning Sheet	Form and Instruction	Modified
247363	Jurisdictional Data Sheet (JDS)	Form and Instruction	Modified	Jurisdictional Data Sheet
247363	Jurisdictional Data Sheet (JDS)	Form and Instruction	Modified	Jurisdictional Data Sheet
247363	Jurisdictional Data Sheet (JDS)	Form and Instruction	Modified
247362	Critical Contact Sheet	Form and Instruction	Modified	Critical Contact Sheet 01MAR2022
247362	Critical Contact Sheet	Form and Instruction	Modified	Critical Contact Sheet
247362	Critical Contact Sheet	Form and Instruction	Modified
247361	Jurisdictional Structure Sheet	Form and Instruction	Unchanged	Jurisdictional Structure Sheet
247361	Jurisdictional Structure Sheet	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-1352	ICR Reference No: 202202-0920-015
Status: Historical Active	Previous ICR Reference No: 202105-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1352-22DC
Title: Operational Readiness Review 2.0
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/02/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	10/31/2024	10/31/2024
Responses	2,256	0	2,132
Time Burden (Hours)	3,271	0	3,053
Cost Burden (Dollars)	94,415	0	94,415

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Abstract: CDC's Operational Readiness Review (ORR) is a rigorous, evidence-based assessment used to evaluate PHEP recipients' planning and operational functions. The previous version of the ORR was used to measure a jurisdiction's ability to execute a large emergency response requiring medical countermeasure (MCM) distribution and dispensing. The purpose of this ICR is to expand the ORR to include all 15 PHEP capabilities so DSLR can better monitor program impact and support program analysis and improvement across all hazards impacting public health. This Non-Substantive Change Request is submitted to: 1) Clarify questions for the respondents of this ICR (Public Health Emergency Preparedness (PHEP) cooperative agreement awardees), and 2) Add sections to the ORR 2.0 Operational Module : Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations and the COVID Pandemic Response instruments. Burden will increase slightly to 3,271 annual hours.

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Authorizing Statute(s): US Code: 42 USC 247d-3a Name of Law: Public Health Service Act: Improving State and Local Public Health Security
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 37659	06/23/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 30318	06/07/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 38

table that charts list of burden

IC Title	Form No.	Form Name
Access and Functional Needs Exercise Accommodations or Actions (Par 2)	n/a	AFN Exercise Accommodations or Actions (Par 2)
COVID-19 Pandemic Response (RSP)	0920-1352	COVID-19 Pandemic Response (RSP)
Capability 10: Medical Surge	0920-1352, n/a	Capability 10 ,   Capability 10 01MAR2022
Capability 11: Nonpharmaceutical Inverventions	n/a, 0920-1352	Capability 11 ,   Capability 11 01MAR2022
Capability 12: Public Health Laboratory Testing	n/a	Capability 12
Capability 13: Public Health Surveillance and Epidemiological Investigation	n/a, 0920-1352	Capability 13 ,   Capability 13 01MAR2022
Capability 14: Responder Safety and Health	n/a, 0920-1352	Capability 14 ,   Capability 14 01MAR2022
Capability 15: Volunteer Management	n/a	Capability 15
Capability 1: Community Preparedness	n/a, 0920-1352	Capability 1 ,   Capability 1 01MAR2022
Capability 2: Community Recovery	n/a	Capability 2
Capability 3: Emergency Operations Coordination	n/a, 0920-1352	Capability 3 ,   Capability 3 01MAR2022
Capability 4: Emergency Public Information and Warning	n/a, 0920-1352	Capability 4 ,   Capability 4
Capability 5: Fatality Management	0920-1352, n/a	Capability 5 ,   Capability 5
Capability 6: Information Sharing	n/a, 0920-1352	Capability 6 ,   Capability 6 01MAR2022
Capability 7: Mass Care	n/a, 0920-1352	Capability 7 ,   Capability 7 01MAR2022
Capability 8: Medical Countermeasure Dispensing and Administration	n/a, 0920-1352	Capability 8 ,   Capability 8 01MAR2022
Capability 9: Medical Material Management and Distribution	n/a, 0920-1352	Capability 9 ,   Capability 9 01MAR2022
Critical Contact Sheet	n/a, 0920-1352	Critical Contact Sheet ,   Critical Contact Sheet 01MAR2022
Dispensing Throughput Drill	n/a, 0920-1352	Dispensing Throughput Drill ,   Dispensing Throughput Drill 01MAR2022
Facility Setup Drill	n/a, 0920-1352	Facility Setup Drill ,   Facility Setup Drill 01MAR2022
Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised	n/a	Five-year Dispensing Full-scale Exercise for Each Point of Dispensing Site Exercised
Five-year Dispensing Full-scale Exercise or Incident	n/a	Five-year Dispensing - Full Scale Exercise or Incident
Five-year Distribution FSE OR Five-year Pandemic Influenza Full-scale Exericse	n/a, 0920-1352, 0920-1352	Five Year Distribution Full Scale Exercise, or Incident ,   Five-Year Distribution FSE 01MAR2022 ,   Five-Year Pan-Flu FSE or Incident 01MAR2022
Joint Exercise with Emergency Management and Health Care Coalitions (Par 3)	n/a	Joint Exercise with Emergency Management and HCC (Par 3)
Jurisdictional Data Sheet (JDS)	n/a, 0920-1352	Jurisdictional Data Sheet ,   Jurisdictional Data Sheet
Jurisdictional Structure Sheet	n/a	Jurisdictional Structure Sheet
Ops 1	n/a, 0920-1352	Ops 1 ,   Ops 1 01MAR2022
Ops 2	n/a, 0920-1352	Ops 2 ,   Ops 2 01MAR2022
Partner Planning Sheet	0920-1352, n/a	Partner Planning Sheet ,   Partner Planning Sheet
Partner Role (Par 1)	n/a	Partner Role (Par 1)
Site Activation Drill	n/a, 0920-1352	Site Activation Drill ,   Site Activation Drill 01MAR2022
Staff Notification and Assembly Drill	n/a, 0920-1352	Staff Notification and Assembly Drill ,   Staff Notification and Assembly Drill
Tabletop Exercise (TTX)	n/a, 0920-1352	Tabletop Exercise (TTX) ,   Tabletop Exercise Drill 01MAR2022
Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC)	0920-1352	Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations (VAC)
Vaccination of Critical Workforce (Functional Exercise, Full-scale Exercise, or Incident)	n/a, 0920-1352	Vaccination of Critical Workforce FE, FSE, or Incident ,   Vaccination of Critical Workforce FE FSE or Incident 01MAR2022
Vaccination of Critical Workforce (Immunization Information System)	n/a, 0920-1352	Vaccination of Critical Workforce - Immunization Information System (IIS) ,   Vaccination of Critical Workforce IIS 01MAR2022
Vaccination of Critical Workforce (Point of Dispensing)	n/a, 0920-1352	Vaccination of Critical Workforce POD/DVC Setup ,   Vaccination of Critical Workforce POD DVC 01MAR2022
Workforce Development and Training	n/a, 0920-1352	Workforce Development and Training ,   Workforce Development and Training

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,256	2,132	0	124	0	0
Annual Time Burden (Hours)	3,271	3,053	0	218	0	0
Annual Cost Burden (Dollars)	94,415	94,415	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Non-Substantive Change Request to 0920-1352 adds two sections to the ORR 2.0 Operational Module: Vaccination for Critical Workforce Groups and Disproportionately Impacted Populations and the COVID Pandemic Response instruments. Burden will increase slightly to 3,271 annual hours

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Annual Cost to Federal Government: $451,890

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/02/2022

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