Mobilizing for Action through Planning and Partnerships (MAPP): Outcomes

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Mobilizing for Action through Planning and Partnerships (MAPP): Outcomes Form
Online Assessment E_MAPP Assessment Online Version.docx Form
KHY1-MAPP--SSA.docx SS Part A IC Document
KHY1-MAPP--SSB.docx SS Part B IC Document
A_MAPP Fact Sheet.pdf Fact Sheet IC Document
B_MAPP Assessment Plan.docx Assessment Plan IC Document
C_PHAB Launches National Accreditation for Health Departments.pdf PHAB Document IC Document
D_PHAB Standards_An Overview.pdf PHAB Standards IC Document
F_MAPP Assessment Word Version.docx Assessment Word Version IC Document
G_Tool Instructions and Link Email.docx Tool Instructions IC Document
H_Reminder Email.docx Reminder Email IC Document

Information Collection (IC) Details

IC Title:	Mobilizing for Action through Planning and Partnerships (MAPP): Outcomes	Agency IC Tracking Number:	15CL

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Online Assessment	E_MAPP Assessment Online Version.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 506	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	506	506
Annual IC Time Burden (Hours)	127	127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SS Part A	KHY1-MAPP--SSA.docx	12/10/2014
SS Part B	KHY1-MAPP--SSB.docx	12/10/2014
Fact Sheet	A_MAPP Fact Sheet.pdf	12/10/2014
Assessment Plan	B_MAPP Assessment Plan.docx	12/10/2014
PHAB Document	C_PHAB Launches National Accreditation for Health Departments.pdf	12/10/2014
PHAB Standards	D_PHAB Standards_An Overview.pdf	12/10/2014
Assessment Word Version	F_MAPP Assessment Word Version.docx	12/10/2014
Tool Instructions	G_Tool Instructions and Link Email.docx	12/10/2014
Reminder Email	H_Reminder Email.docx	12/10/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.