Capability 14

Form Approved

OMB Approval No. 0920-xxxx

Expiration Date: xx/xx/xxxx

Capability 14

Public health responder safety and health plans include

a. Safety Officer or equivalent roles and responsibilities

b. Potential hazards or risks responders might encounter during an incident

c. Health and safety assessment for responders

Procedures for providing Personal Protective Equipment (PPE) include:

a. Appropriate scalability given the incident

b. Training in proper use

Plans for pre-deployment assessment of public health responders include

a. Physical health screenings

b. Mental/behavioral health screenings

c. Countermeasure considerations

Scalable plans or processes in place for public health responders (during and after response) include

a. Just-in-time training

b. Injury and Morbidity Surveillance

c. Post deployment monitoring

Public reporting burden of this collection of information is estimated to average 90 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).