View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
506
0
506
0
0
0
Annual IC Time Burden (Hours)
127
0
127
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.