I. Statement of the Problem  - Shawna

II. Background and Justification  - Hayley/Shawna

III. Statement of the desired action(s) to be taken – Kelly

IV. Goals of Surveillance - Hayley

V. Methods for Surveillance: Surveillance for [disease/condition] should use the recommended sources of data and the extent of coverage listed in Table III. – Kelly

VI. Criteria for case ascertainment  - Carl

VII. Case Definition for Case Classification (completed)  - Abelardo

VIII. Period of Surveillance - Sally

IX. Data sharing/release and print criteria - Sally

X. Revision History - Carl

XI. References  - Hayley

XII. Coordination - Abelardo