0920-1352 Capability 8 01MAR2022

Operational Readiness Review 2.0

Att18-Capability 8-clean

OMB: 0920-1352

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Form Approved

OMB Approval No. 0920-1352

Expiration Date: 10/31/2024

Capability 8





Process to request assistance for medical countermeasures (MCM) assets involving

  1. Federal disaster declaration

  2. No federal disaster declaration (possible state declaration)

  3. Isolated, individual, or time-critical to the jurisdiction

  4. Coordination with tribal government(s) (if applicable)



c.



POD security plans in place



Process for dispensing MCM in POD and dispensing vaccination clinics (DVC) sites include

a. Flow diagram

b. Algorithm for dispensing medical countermeasures

c. Record/log of drugs dispensed

d. Investigational New Drug (IND) protocols

e. Emergency Use Authorization (EUA) protocols



MCM procedures for cold chain management



General point-of-dispensing (POD) information

POD name

POD operation type

POD planning type

Address 1

  • Address 2

  • City

  • County

  • Zip code

  • Country

POD used as antibiotic dispensing clinic

POD used as dispensing vaccination clinic

Written agreement in place

  • Type of facility



POD Detail

Estimated population who will visit the POD

Primarily walk through, drive through, combination (select 1)

Staffing is based on a tiered approach (y/n)

Total staff needed for antibiotic dispensing operation

Total staff currently identified for vaccine administration clinic DVC (if applicable)

Total staff needed for vaccine administration clinic/DVC (if applicable)

Total staff currently identified for antibiotic dispensing operation



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Public reporting burden of this collection of information is estimated to average 420 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 (0920-1352).

 


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorGarcia, Albert (CDC/DDPHSIS/CPR/OD)
File Modified0000-00-00
File Created2022-03-21

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