Form Approved OMB
Approval No. 0920-xxxx Expiration
Date: 0x/xx/2021
Jurisdiction population
Number of county, city, tribal, and local health departments
Number of county, city, tribal, and local health departments required to develop local mass prophylaxis plans
Total sites that receive materiel directly from the RSS
Closed POD section
Jurisdiction dispenses prophylaxes directly to public health responders or critical infrastructure personnel (CIP)
Jurisdiction administers vaccine directly to public health responders or critical infrastructure personnel (CIP)
Population served by CPODs
Number of CPODs
Number of CPODs exercised
Number of agreements in place with dispensing sites using alternate dispensing methods
Total number of designated primary open (public) PODs
Population to be covered by open PODs
Open PODs: total population per hour to process
Roll-up: Current number of open PODs
Number of open PODs exercised
Public reporting burden of
this collection of information is estimated to average 150
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).
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Garcia, Albert (CDC/DDPHSIS/CPR/OD) |
File Modified | 0000-00-00 |
File Created | 2022-03-03 |