Form Approve
OMB No: 0920-1461
Exp. Date: 08-31-2028
The public reporting burden of this collection of information is estimated to average 1 hour 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 Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-1461)
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ORS Quarterly Reporting Template
Project Data Entry - State Staff
Field Name |
Required |
Data Type |
Character Limit |
Format/Values |
Description |
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Project Overview |
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Project Name |
✔ |
Character |
100 |
|
Free text field |
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Project Description |
✔ |
Character |
1,000 |
|
Brief description of the overall purpose and activities of the project. All acronyms should be defined on first use. |
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Project Status |
✔ |
Selection |
|
In Progress Complete On Hold Discontinued |
In progress indicates that project activities took place in the quarter and it is ongoing. Complete indicates that project activities are complete. On hold indicates that progress on project activities are not continuing forward during the quarter but will/may carry on in the future. Discontinued indicates that project activities are no longer being pursued. |
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Project Start Quarter |
✔ |
Selection |
|
|
This field determines the first quarter (e.g., 2023 Q1) of reporting for a project. It only appears when a project is first created. |
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Project Start Date |
✔ |
Date |
|
MM/DD/YYYY |
Approximate start date of project activities |
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Project End Date |
Dependent on project status |
Date |
|
MM/DD/YYYY |
End date of project activities for complete projects. Only displays if the project status is complete, archived, or discontinued. |
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Project Updates |
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Quarterly Overview |
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ORS Strategies and Activities |
✔At least one strategy and one corresponding activity is required. |
Selection |
|
See list in appendix |
Select all strategies and activities that are applicable to the activities of the project for this quarter. |
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Is this project in your current action plan? |
✔ |
Binary |
|
Yes No |
Indicates whether the project is currently listed in ORS team’s annual action plan. |
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ORS Project Team |
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Primary Data Reporter |
✔ |
Selection |
|
Checkbox |
This is assigned to the staff member who created the project. A national administrator can update the primary data reporter as needed. |
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ORS Collaborator |
✔ |
Selection |
|
Filters by list of state/jurisdiction staff |
First and last name of staff member who supported the project during the reporting quarter. |
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Project Focus |
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Geographies |
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State/Jurisdiction |
✔ |
Selection |
|
All U.S. states/ territories with ORS teams |
State/jurisdiction(s) impacted by the activities of the project. Only 1 state can be selected per row, so the counties are specific to that 1 state. However, users can add multiple rows if the project covers multiple states. |
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Counties |
|
Selection |
|
All counties within applicable state/jurisdiction |
Within state/jurisdiction, specific counties impacted by the activities of the project. |
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Cities |
|
Selection |
|
Major cities within applicable state/jurisdiction |
Within state/jurisdiction, specific cities impacted by the activities of the project. |
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Populations |
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Was this project designed to impact populations disproportionately at risk for overdose? |
|
Character |
1000 |
|
One to three sentences describing populations impacted by the project. |
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Substances |
|||||||||
Did the project target a specific substance? |
|
Selection |
|
Select if yes |
Selection is completed only if project activities were focused on addressing specific substances. Otherwise, users do not need to take any action. |
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Substance |
✔ if the field appears because the previous question was selected. |
Selection |
|
Opioids Stimulants Hallucinogens Depressants Cannabis Polysubstances |
Select one or more substance categories if specifically impacted by project activities. All options cannot be selected. All options cannot be selected; if the project addressed all substances rather than one or more specific categories then the previous question should not be selected. |
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Outcomes in Progress |
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Outcomes in Progress |
✔ if no data to enter into Outcomes Completed table below, otherwise N |
Character |
1,000 |
|
Description of outcomes in progress not captured in completed outcome table below. |
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Outcomes Completed
|
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Strategy 1 (The following 6 outcomes only display if Strategy 1 is selected): 1. Enhanced existing data system 2. Created new data system 3. Delivered presentation(s)/briefing(s) 4. Created report (including, but not limited to, briefs, bulletins, visualizations, dashboards) 5. Delivered ODMAP presentation(s) 6. Executed ODMAP participation agreement(s)
For each Strategy 1 outcome, the following measures are collected: |
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Description |
|
Character |
1,000 |
|
Description of support provided by ORS team for the designated outcome. |
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Partner Supported |
|
Selection |
|
Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided. |
Type(s) of partner(s) supported for the outcome completed. |
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Total Number* |
|
Numeric |
3 |
1-999 |
Total number of reports or ODMAP participation agreements executed. |
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Estimated Number of Attendees† |
|
Numeric |
3 |
1-999 |
Estimated number of people who attended presentation(s) or briefing(s). |
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*Only collected for Strategy 1, Outcomes 4, 6 †Only collected for Strategy 1, Outcome 3 |
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Strategy 2 (The following 10 outcomes only display if Strategy 2 is selected): 1. Established new multi-sector team (OFR) 2. Established new multi-sector team (PHAST) 3. Established new multi-sector team (Other) 4. Supported existing multi-sector team (OFR) 5. Supported existing multi-sector team (PHAST) 6. Supported existing multi-sector team (Other) 7. Enhanced jurisdictional partnerships/collaboration 8. Created/implemented OFR recommendation 9. Developed multi-sector rapid response/spike response plan 10. Tested and/or enhanced multi-sector rapid response/spike plan
For each Strategy 2 outcome, the following measures are collected: |
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Description |
|
Character |
1,000 |
|
Description of support provided by ORS team for the designated outcome. |
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Partner Supported |
|
Selection |
|
Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided. |
Type(s) of partner(s) supported for the outcome completed. |
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Strategy 3 (The following 7 outcomes only display if Strategy 3 is selected): 1. Developed educational/informational materials 2. Developed communication campaign(s) 3. Developed training 4. Delivered training 5. Hosted community event 6. Supported community event 7. Evaluated results of training or event
For each Strategy 3 outcome, the following measures are collected: |
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Description |
|
Character |
1,000 |
|
Description of support provided by ORS team for the designated outcome. |
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Audience Type |
|
Selection |
|
Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided. |
Type(s) of audience that received educational/informational materials, communication campaigns, trainings or intended audience of community events. |
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Total Number* |
|
Numeric |
3 |
1-999 |
Total number of educational or information materials, communication campaigns or trainings delivered, |
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Estimated Number of Attendees† |
|
Numeric |
3 |
1-999 |
Estimated number of people who attended trainings or who provided feedback on trainings. |
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*Only collected for Strategy 3, Outcomes 1, 2, 4 †Only collected for Strategy 3, Outcomes 4, 7 |
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Strategy 4 (The following 4 outcomes only display if Strategy 4 is selected): 1. Developed protocol 2. Provided Technical Assistance session 3. Implemented new program/intervention 4. Supported existing program/intervention
For each Strategy 4 outcome, the following measures are collected: |
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Description |
|
Character |
1,000 |
|
Description of support provided by ORS team for the designated outcome. |
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Partner Supported |
|
Selection |
|
Checkbox, see appendix for list of valid values. If “Other” is selected, a description must be provided. |
Type(s) of partner(s) supported for the outcome completed. |
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Other Completed Activities |
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Are there other completed outcomes you would like to report? |
|
Selection |
|
Checkbox |
Since activities only display when a strategy is selected, this field provides teams an opportunity to view the full list of reportable outcomes. When this checkbox is selected, teams will be able to report on outcomes that did not populate automatically. |
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Success Stories |
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Title |
✔ |
Character |
100 |
|
A short title (10 words or less) that summarizes the success story. |
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Challenge |
✔ |
Character |
1,000 |
|
Description of the problem/challenges addressed in the success story. |
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Approach/ Activities |
✔ |
Character |
1,000 |
|
Description of the activities implemented and parties involved. |
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Results/ Outcomes |
✔ |
Character |
1,000 |
|
Description of how the activity addressed the problem. |
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ORS Staff Involved |
|
Selection |
|
Collaborators selected on project |
Collaborators listed on the project will be populated here. Select one or more individuals that were involved in the success story. |
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Attachment (Type of attachment, Other attachment type, Attachment) |
|
Type of attachment: selection Other attachment type: character, Attachment: file upload |
Up to 5GB |
Videos and files of any type |
Attachments can be used to share visuals/documents associated with the success story, including a direct quote or testimonial from a partner or participant, pictures, promotional materials, press release, an example of the work products (e.g., reports/bulletins), etc. Only non-sensitive attachments should be uploaded.
|
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National Admin Only
Field Name |
Required |
Data Type |
Character Limit |
Format/Values |
Description |
Staff Directory - Add/Edit Staff Member |
|||||
First Name |
✔ |
Character |
25 |
|
|
Last Name |
✔ |
Character |
25 |
|
|
Phone (mobile) |
✔ |
Number |
20
|
+1XXXXXXXXXX |
Must be able to accept text messages for two-factor authentication. |
Phone (office) |
|
Number |
20 |
XXX XXX XXXX with optional extension xXXX |
Optional field |
✔ |
Character |
50 |
yourname@example.com |
This is the email that the system invitation will be sent to. |
|
Is this staff member active? |
✔ |
Selection |
|
|
This field only appears when editing an existing staff member. It controls whether the user has access to the ORSTRS system. |
State or National Role |
✔ |
Selection |
|
State National |
|
National - Role |
Either a selection must be made for this field or National Admin must be checked |
Selection |
|
National Read-Only National Reviewer |
Options only display if “National” is selected for State or National Role. |
National Admin |
Either a selection must be made for role or National Admin must be checked |
Selection |
|
|
Box indicates that individual has a role as an administrator of the system. |
State - Role |
✔ |
Selection |
|
DIO PHA |
Options display if “State” is selected for State or National Role. |
National Reviewer |
✔ |
Selection |
|
List includes all staff assigned national reviewer roles |
Options display if “State” is selected for State or National Role. Select the national reviewer responsible for reviewing project updates by the primary reporter. |
HIDTA |
✔ |
Selection |
|
List of all HIDTA programs |
Options display if “State” is selected for State or National Role. Select the HIDTA the staff member covers. |
State/Jurisdiction |
✔ |
Selection |
|
List of all states and territories in ORS program |
Options display if “State” is selected for State or National Role. Select the state/jurisdiction the staff member covers. |
Review Process |
|||||
Add a comment /edit a comment /submit /request changes /approve modal |
✔ for add a comment, edit a comment, and request changes, otherwise not required |
Character |
1,000 |
|
Comment can address questions or other information for primary data reporter, collaborator, or reviewer. |
Notify primary data reporter of requested changes by email |
|
Selection |
|
|
This field only appears when the action is “Request changes” |
Success Stories |
|||||
Final Version |
|
Character |
1,000 |
|
Only editable by national admin or national reviewer. Final description of the success story when the project is complete. |
Featured Products (Product type, Other product description, Month, Year) |
|
Product type: selection Other product description: character Month: selection Year: selection
|
|
|
Only editable by national admin or national reviewer. List of product(s) in which this success story is featured. |
Field: ORS Strategies and Activities
Strategy 1 (SHARE & CONNECT) – Expand access and quality of cross-sector data, insights and trends to inform a coordinated response to the overdose crisis.
1.1 Maintain or improve the functionality (e.g., access, timeliness, accuracy or content) of existing data systems or create new data systems to meet an identified need.
1.2 Develop, design or disseminate data briefs, reports, presentations, visualizations, or bulletins on drug trends and emerging threats
1.3 Disseminate intelligence on interdiction and drug trafficking patterns/trends.
Strategy 2 (COLLABORATE) – Build sustained cross-sector coordination and collaboration to enhance overdose prevention and response efforts.
2.1 Facilitate cross-sector partnerships for the purposes of leveraging or optimizing resources.
2.2 Support the development or implementation of multi-sector teams, taskforces or workgroups.
2.3 Develop, test and refine multi-sector rapid response or spike response plans.
Strategy 3 (INFORM & PROMOTE) – Educate and train community members and partners on effective* overdose prevention, treatment and recovery strategies.
3.1 Support the dissemination of communication campaigns and informational materials.
3.2 Develop or deliver trainings to partners or community members.
3.3 Host or participate in community events that support overdose prevention, treatment or recovery awareness.
Strategy 4 (HELP & IMPLEMENT) – Help partners implement, improve and expand access to effective* overdose prevention, treatment and recovery support services.
4.1 Support partners in developing protocols and strategies for implementing effective interventions (e.g., naloxone distribution, MOUD).
4.2 Assist partners in implementing programs for intended audiences and communities at increased risk of overdose.
4.3 Provide technical assistance to support monitoring program impact and the implementation of effective strategies.
Fields: Partner Categories, Audience
Community Partners
Overdose Prevention Program
Advocacy Organization/Coalition
Drug Free Community
Faith-based Organization
People with Lived Experience
Recovery Community Organization
Public Health and Medical Organizations
Local/State Health Department
Medical Examiner/Coroner
Emergency Department/Hospital
Substance Use Treatment Provider
First Responders
Law Enforcement
Emergency Medical Services
Fire Department
Justice-Involved Organizations
Jail and prison
Probation and parole
Prosecutor/Attorney
Reentry and Transitional Support Program
Schools
Elementary or middle school
High school
Higher Education
Social and Supportive Services
Child and Family Services
Housing services/Recovery Housing Program
Other
E.g., tribal and indigenous partners, policy and research organizations, etc.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Olivia Turner |
| File Modified | 0000-00-00 |
| File Created | 2026-01-09 |