Template Work Plan.xlsx
XLSX spreadsheet 20 KB Posted
- Opportunity number
- CDC-RFA-OT21-2101
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Template Work Plan.xlsx
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Other files
| File | Type | Posted |
|---|---|---|
| Updated CIO Project Plan List.pdf | ||
| AMENDMENT CDC-RFA-OT21-2101.pdf | ||
| AMENDMENT CDC-RFA-OT21-2101.docx | DOCX document | |
| NOFO CDC-RFA-OT21-2101.pdf | ||
| CIO Project Plan.pdf | ||
| NOFO CDC-RFA-OT21-2101.pdf |
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Termplate Work Plan
| Strengthening the Public Health System and Services in the US-Affiliated Pacific Islands |
| CDC-RFA-OT21-2101 |
| Work Plan Template |
Directions: Complete the following template for each CIO Project Plan for which you will submit a response. Applicants must complete a work plan and budget narrative for each CIO Project Plan for which they would like to apply. Individual work plans should be merged, saved, and submitted as the “Work Plans” on Grants.gov. individual budget narratives should be merged, saved, and submitted as the "Budget Narratives" on grants.gov. Note there is an example listed below for referance.
| APPLICANT INFORMATION | |
| 1a | Applicant Name |
| 1b | Applicant POC Name |
| 1c | Applicant POC Phone Number |
| 1d | Applicant POC Email Address |
| 1e | Applicant POC Mailing Address |
| 1f | Applicant POC Backup Name |
| 1g | Applicant POC Backup Email Address |
CIO Project Plan Information List the CIO Project Plan that will be addressed in this work plan. (refer to the CIO Project Plan list in the NOFO)
| 2a | Project Title |
| 2b | Category |
| WORK PLAN OVERVIEW | |
| 3 | Target Population Description* |
(This should be consistent with the target population identified in the CIO Project Plan) [25 words max] 4 Overall objective and description [250 word max]
WORK PLAN INFORMATION
Describe the activities, outputs, performance measures (both process and outcome), and outcomes related to the selected NOFO strategies and NOFO outcomes on the Logic Model. Please use bullets.
| 5a | Use drop-down list to select primary strategy | |
| [Refer to the logic model for list of strategies] | Public health workforce | |
| Activities description (use bullets to separate each activtity) | ||
| Process Measures | ||
| Outputs (the direct, tangible results of activities (e.g., resources, tools, and products developed)). | ||
| Select the Budget Period Outcome expected by the end of the budget period |
[refer to the logic model]
| Outcome Measures | ||
| 5b | Use drop-down list to select secondary strategy (if applicable) | |
| [Refer to the logic model for list of strategies] | N/A | |
| Activities description (use bullets to separate each activtity) | ||
| Process Measures | ||
| Outputs (the direct, tangible results of activities (e.g., resources, tools, and products developed)). | ||
| Select the Budget Period Outcome expected by the end of the budget period |
[refer to the logic model]
| Outcome Measures | ||
| 6 | If "Public health system and infrastructure" was selected for the primary or secondary strategy, use the dropdown menu to select the sub-strategy that aligns with the activities. | N/A |
ORGANIZATIONAL CAPACITY
Describe your capacity to successfully complete this project. Include your organization’s relevant staffing, systems, and resources. [1,000 words max]
PROGRAM EXPERIENCE
Describe your experience as it relates to this component. Include products developed; services, training and technical assistance provided; and relevant target populations supported. [1,000 words max]
COLLABORATIVE WORK
Describe your plan for collaboration as it relates to this component and each activity. Include specific organizations or entities as applicable. [1,000 words max]
CONTRACTUAL WORK
Describe your plan for contractual work as it relates to the component and each activity. Include recommended criteria for identifying and selecting subcontractors. [1,000 words max]
| BUDGET BREAKDOWN | |||
| 11a | PERSONNEL SALARIES AND WAGES TOTAL* | $ - 0 | |
| 11b | FRINGE BENEFITS TOTAL* | $ - 0 | |
| 11c | CONSULTANT TOTAL* | $ - 0 | |
| 11d | EQUIPMENT TOTAL* | $ - 0 | |
| 11e | SUPPLIES TOTAL* | $ - 0 | |
| 11f | TRAVEL TOTAL* | $ - 0 | |
| 11g | OTHER TOTAL* | $ - 0 | |
| 11h | CONTRACTUAL TOTAL* | $ - 0 | |
| 11i | DIRECT COSTS TOTAL* | $ - 0 | |
| 11j | INDIRECT COSTS TOTAL | $ - 0 | |
| 11k | BUDGET TOTAL | $ - 0 | |
| List of Strategies [section 5] | List of Sub-strategies for Public health system and infrastructure [section 6] | ||
| Public health workforce | Accountability performance management | ||
| Public health system and infrastructure | Quality improvement | ||
| Public health laws and policies | Business process improvement | ||
| Translation and implementation of evidence-based public health practices and services for USAPI population | Communications | ||
| Public health monitoring and surveillance systems | Financial management | ||
| Communications | Information technology | ||
| Partnerships | other | ||
| N/A | N/A | ||
| Example of one activity for section 5. | |||
| Use drop-down list to select primary strategy | |||
| [Refer to the logic model for list of strategies] | Partnerships | ||
| Activities description (use bullets to separate each activtity) | Planning and hosting a community roundtable offering strategies to convene partners | ||
| Process Measures | To maintain participation level of the previous year, at least 20 of 35 organizations invited will attend the community roundtable event | ||
| Outputs (the direct, tangible results of activities (e.g., resources, tools, and products developed)). | Development of a peer-to-peer learning portal for roundtable participants. | ||
| Select the Budget Period Outcome expected by the end of the budget period | |||
| [refer to the logic model] | Roundtable participants improve capacity to establish partnerships by using the peer-to-peer learning portal. | ||
| Outcome Measures | At least 65% of roundtable participants report establishing a new partnership using features on the peer-to-peer learning portal. |
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