Form 0917-0034 IHS BPPPLE Form

FORM APPROVED
OMB Approval No. 0917-0034
Exp. Date

Indian Health Service

Sharing What Works – Best Practice, Promising Practice,

and Local Effort Form

The Indian Health Service (IHS) Best Practice, Promising Practice, and Local Effort (BP/PP/LE) website contains a collection of prevention/intervention strategies that work to improve the health of American Indian/Alaska Native (AI/AN) populations.

The purpose of this inventory is to:

• Provide an IHS database of Best Practices, Promising Practices, and Local Efforts that can be easily accessed on the IHS website;

• Improve informed consultation with Tribal and urban programs by facilitating transparency in IHS and IHS supported activities; and

• Highlight the great work that occurs in the field, communities, schools, clinics, and health centers.

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To submit a best practice, promising practice, local effort, resource, or policy, the user must create a username and password. This allows the user to save their submission and sign back into the system to complete submission.

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Submit Content

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All fields noted with an asterisk (*) are required.

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• Contact person:

• First Name:

• Last Name:

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Public Burden Statement: In accordance with Paperwork Reduction Act (5 CFR 1320.8 (b)(3), a Federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Respondents must be informed (on the reporting instrument, in instructions, or in a cover letter) the reasons for which the information will be collected; the way the information will be used to further the proper performance of the functions of the agency; whether responses to the collection of the information are voluntary, required to obtain a benefit (citing authority), or mandatory (citing authority); and the nature and extent of confidentiality to be provided, if any (citing authority). Public reporting burden for this collection of information is estimated to average 20 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the necessary data, and completing and reviewing the collection information. Send comments regarding the burden estimate or any other aspect of this collection of information to the IHS PRA Information Collection Clearance Staff, 801 Thompson Ave., Suite 450, Rockville, MD 20852.