2nd Quarter PHEP 2025-2026 Progress Report

First Quarter PHEP 2025-2026 Progress Report

First Quarter - Report Due October 30, 2025
Please Read Completely and Fully Understand These Instructions

1.  Complete this progress report for your quarterly PHEP deliverables. Report ONLY on this quarter's progress. Deliverables not due this quarter are not displayed except for those that may be completed at any point during the budget period.

2.  Refer to the written guidance provided to you at the beginning of the grant year (Attachment A) for instruction on completing each of the deliverable elements. A copy of this guidance is available on the PHEP Deliverables Resource (PDR) webpage. PHEP will inform you of any changes or adjustments in deliverable requirements or guidance during the year. Please contact the subject matter expert for the appropriate section If you have questions.

3. If a field asks for a number, please use the numerical form. Do not use text.

4. Required fields have a red asterisk. These fields must be completed or you will not be able to submit the form.

5. You do not need to complete the form in one session, but rather work on it throughout the quarter or year. To save your work and come back to it later, scroll to the bottom and click "Save." If you do not, you will lose your information. DO NOT close your browser without performing this step. The form will display a unique link that will take you to your saved form. You may also choose to have it emailed to you. This link is the ONLY way to retrieve your form.

6. You MUST log in to your saved report with your unique link EVERY 30 DAYS at a minimum to keep it active. Your form will be deleted from the server if you do not and you will have to start over.

Uploading Documents:

NOTE: Documents added to the form are not saved when you use the "Save" feature. You must upload required documents for deliverables as the last task before submitting the progress report. The documents will upload at that time.

PLEASE start any file name for documents you submit with your jurisdiction’s name.

Attention: Combine files into one if there is only one upload field. We prefer PDF files, but can accept several types.

You will receive an email response to your submission with all of the information you provided. However, we recommend saving the progress report to your computer as a PDF file before submitting it as a backup.

Please begin by providing the following information:
Jurisdiction*
Please Select
Name

First NameLast Name
Phone

Country CodeArea CodePhone Number
Email*
example@example.com
Confirm Email*
example@example.com
Deliverable Requirements - DUE EVERY QUARTER

These requirements are due 30 days after the end of every quarter of the budget period.
BA1: Budget Line-Item Expenses

Provide the actual dollar amount and supporting documentation for expenses in the listed line-item categories using the Budget Spreadsheet.
Did you complete BA1?*

YesNo
Please upload the completed budget spreadsheet.

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BA2: Maintain the Montana Public Health Directory

Maintain and update contact information for all staff listed in the public health directory.
Did you complete BA2?*

YesNo
Indicate which categories needed to be updated for this quarter.
BA3: DPHHS HAN Response

Test your DPHHS HAN response once each quarter.
BA3 Complete?*

YesNo
BA4: 24/7 Communication System Implementation

Participate in quarterly testing of the 24/7 notification system initiated by DPHHS.
BA4 Complete?*

YesNo
Please describe the issue and any corrective action taken.
Were changes made to your 24/7 protocol?

YesNo
Please describe the changes that were made to the protocol.
Upload documentation stating that your 24/7 Communications Plan is current. (Required at least one quarter of the year.)

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BA5: Reconcile Communicable Disease Cases with DPHHS Staff

Reconcile communicable disease investigations in the Montana Infectious Disease Information System (MIDIS) that were performed in the previous quarter to meet the timeliness and completeness standards set forth by DPHHS and the Administrative Rules of Montana (ARM 37.114.201, 37.114.204, and 37.114.205). Local and tribal health jurisdictions should report diseases as quickly and completely as possible.
BA5 Complete?*

YesNo
BA6: Confirm Backup Sanitarian for Emergency Situations

Jurisdictions should have a backup sanitarian to fill in for emergency events where the primary sanitarian is unavailable.
BA6 Complete?*

YesNo
Deliverable Requirements - DUE FIRST QUARTER

These requirements, in addition to those listed for every quarter, are due 30 days after the end of the 1st quarter - October 30, 2025.
BA7: Essential Laboratory Contact Information List

Provide your jurisdiction’s local contact information for effective communication with the MT Laboratory Services Bureau (MTLSB) during a preparedness response event using the Contact Information Form FY 2025-2026.
BA7 Complete?*

YesNo
Upload your completed Contact Information Form FY 2025-2026.

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BA8: CBAT Kit Inspection and Inventory

Inspect the CBAT kit, add new supplies, replace the lid sealing gasket, and reseal the kit with new evidence tape.

Complete the CBAT Kit Inventory Form.
BA8 Complete?*

YesNo
P2: Plans Inventory

Report your jurisdiction's plans and revision dates for eight categories identified in the CDC PHEP 2024-2029 Cooperative Agreement.

The PHEP 2024-2029 Cooperative Agreement with the CDC identified eight priority planning categories for review and revision to remain current in a risk-based all-hazards approach. THis deliverable intend to determine the existence and status of these planning documents in your jurisdiciton.

Jurisdictions vary in how their plans are structured and differ in naming conventions. The following are priority areas and may not exactly match titles or categories in your jurisdiction.
Does your jurisdiction have an all-hazards preparedness and response plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Does your jurisdiction have an infectious disease response plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Does your jurisdiction have a pandemic influenza plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Does your jurisdiction have a medical counter measures (MCM) distribution and dispensing plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Does your jurisdiction have a continuity of operations (COOP) plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Does your jurisdiction have a chemical, biological, radiological and nuclear threat response plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Does your jurisdiction have a volunteer management plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Does your jurisdiction have a crisis and emergency risk communications (CERC) and information dissemination plan?*
Please list the name of your jurisdiction's plan(s) that address this category.
List the primary responsible custodian(s).
Select the Date Last Revised

MonthDayYear
Date
Deliverable Requirements - DUE DEPENDANT ON REGION

These requirements, in addition to those listed for every quarter, are due 30 days after the end of the quarter listed for your jurisdiction.
E2: Highly Infectious Communicable Disease Plus TTX Q1 Southern and Western Regions

Participate in a PHEP/HPP Co-Sponsored TTX
EX2 Complete?*

YesNoN/A - completed (or will complete) another quarter
Upload your completed AAR/IP of the TTX.

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Should be Empty:

First Quarter PHEP 2025-2026 Progress Report

E2: Highly Infectious Communicable Disease Plus TTX Q1 Southern and Western Regions