Infrastructure, Prevention, and Promotion Indicators

Mental Health Client/Consumer Outcome Measures and Infrastructure, Prevention and Promotion Indicators

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0285 can be found here:

Documents and Forms

Document Name Document Type
Form IPP Indicators Infrastructure, Prevention, and Promotion Indicators Form and Instruction
IPP Indicators IPP Indicators Attachment B_IPP Indicators_10-20-2021_05-03-2021.docx Form and Instruction
IPP Indicators IPP Indicators Attachment B_IPP Indicators_10-20-2021_05-03-2021.docx Form and Instruction
Attachment F_IPP Form_FINAL.docx IPP Form IC Document
Attachment F_IPP Form_FINAL.docx IPP Form IC Document

Information Collection (IC) Details

IC Title:	Infrastructure, Prevention, and Promotion Indicators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	IPP Indicators	IPP Indicators	Attachment B_IPP Indicators_10-20-2021_05-03-2021.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Infrastructure, Prevention, and Promotion Indicators	FR Citation: 75 FR 28264

Number of Respondents: 942	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	Previously Approved
Annual Number of Responses for this IC	3,768	-160	3,928
Annual IC Time Burden (Hours)	7,536	-320	7,856
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
IPP Form	Attachment F_IPP Form_FINAL.docx	01/19/2022

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