Information Collection

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

IC 214217 under ICR 201402-0920-018 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.