Medical Countermeasure (MCM) Action Plan · Medical Countermeasure (MCM) Action Plan - Action...

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Division of State and Local Readiness (DSLR)

Medical Countermeasure (MCM) Action Plan

Budget Period 1 (2017-2018)

Version 1.1; 9/25/2017

For guidance on the proper use of this form, please refer to DSLR’s “Medical Countermeasure (MCM) Technical Assistance Action Plan Guidance” document.

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Medical Countermeasure (MCM) Action Plan - Action ItemsJurisdiction Name: Budget Period

BP1 Quarter

MCM ACTION ITEM

1

Notes:

2

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3

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4

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5

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

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Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 13

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 14

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 15

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 16

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 17

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 18

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 19

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 20

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 21

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 22

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 23

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 24

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 25

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 26

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 27

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 28

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 29

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 30

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 31

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 32

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 33

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 34

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 35

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 36

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 37

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 38

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 39

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 40

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 41

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 42

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 43

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 44

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 45

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 46

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 47

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 48

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 49

(MCM) Action Plan Updates

Budget Period 1 (2017-2018)

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 51

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 52

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 53

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 54

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 55

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 56

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 57

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 58

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 59

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 60

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 61

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 62

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 63

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 64

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 65

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 66

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 67

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 68

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

Quarter 4 Notes:

Q4 Status

Page 69

Medical Countermeasure (MCM) Action Plan - Action Activities MCM Action Item:

Notes:

# Public Health Preparedness Capability Operational Readiness Review (ORR) Form

Activity Type: TA Task: Activity Owner: Target Date:

ACTIVITYDESCRIPTION

Quarter 1Notes:

Q1 Status

Quarter 2 Notes:

Q2 Status

Quarter 3Notes:

Q3 Status

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Page 70

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