Information Collection

Infrastructure, Prevention, and Promotion Indicators

IC 192393 under ICR 202208-0930-004 · OMB 0930-0285.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Infrastructure, Prevention, and Promotion Indicators

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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 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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,768	3,768
Annual IC Time Burden (Hours)	7,536	7,536
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.