Sample Action Plan Template Page 2
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1
2Technical Assistance (NOC IRM, NOC DRS, NOC DM)
Description of TA
Performance Measure(s)/
Rationale
Expected Outcome
NOC Division or State
Requested
Program Requirement(s)
Addressed
1.
2
3.
Staffing
Estimated Time for Major Milestone
Action Steps/Activities
WO/State/Center
Person(s) Responsible
Number of hours/
Completion Date
1.
2.
3.
Funding
Travel
Action Steps/Activities
WO/State/Center
Person(s) Responsible
Location/Amount
1.
2.
3.
4.
Hardware
Action Steps/Activities
WO/State/Center
Person(s) Responsible
Hardware Description/
Amount
1
2.
3.
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