Infrastructure, Prevention, and Promotion Indicators

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

Documents and Forms

Document Name Document Type
Form IPP Indicators Infrastructure, Prevention, and Promotion Indicators Form and Instruction
IPP Indicators IPP Indicators B_IPP Indicators.docx Form and Instruction
IPP Indicators IPP Indicators B_IPP Indicators.docx Form and Instruction
202404 C_CMHS IPP Results Form.docx IPP Form IC Document
202404 C_CMHS IPP Results Form.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	B_IPP Indicators.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: 2,000	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	8,000	4,232	3,768
Annual IC Time Burden (Hours)	64,000	56,464	7,536
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
IPP Form	202404 C_CMHS IPP Results Form.docx	10/01/2024

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