Information Collection

Pretesting Suicide Prevention Messages and Materials with Veterans

IC 188367 under ICR 200706-0930-004 · OMB 0930-0196.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0196 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Guides Pretesting Suicide Prevention Messages and Materials with Veterans	Form and Instruction
Guides Guides Pretesting Suicide Prevention Messages and Materials with Veterans.doc	Form and Instruction
1 Guides Pretesting Suicide Prevention Messages and Materials with Veterans-r.doc	Form and Instruction
OMB Supporting Statement - Pretesting Suicide Prevention Messages Veterans - Final.doc Supporting Statement	IC Document
OMBTranLet2-2009.wpd Justification Memo	IC Document
OMB Supporting Statement - Pretesting Suicide Prevention Messages Veterans - Final-r.doc Revised Supporting Statement	IC Document

IC Title:

Pretesting Suicide Prevention Messages and Materials with Veterans

Agency IC Tracking Number:

IC Status: New

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	Guides	Guides	Pretesting Suicide Prevention Messages and Materials with Veterans.doc		Yes	No	Paper Only
Form and Instruction	1	Guides	Pretesting Suicide Prevention Messages and Materials with Veterans-r.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 108

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	108	0	0	0	0	0
Annual IC Time Burden (Hours)	72	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	OMB Supporting Statement - Pretesting Suicide Prevention Messages Veterans - Final.doc	03/03/2009
Justification Memo	OMBTranLet2-2009.wpd	03/03/2009
Revised Supporting Statement	OMB Supporting Statement - Pretesting Suicide Prevention Messages Veterans - Final-r.doc	04/09/2009

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