Information Collection

Veterans Suicide Prevention Focus Group Emergency Request

IC 195890 under ICR 201101-2900-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Veterans Focus Group Moderator Guide.pdf	Other-Moderator Guide
Veterans Families & Friends Focus Group Moderator Guide.pdf	Other-Moderator Guide

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-Moderator Guide			Veterans Focus Group Moderator Guide.pdf		No		Paper Only
Other-Moderator Guide			Veterans Families & Friends Focus Group Moderator Guide.pdf		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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