Provider - State/Tribal - Stakeholder

Cross-Site Evaluation of the Garrett Lee Smith Memorial Suicide Prevention and Early Intervention Program

OMB: 0930-0286

IC ID: 208304

Information Collection (IC) Details

View Information Collection (IC)

Provider - State/Tribal - Stakeholder
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction E. RNS Instrument and Verbal Consent Script.docx E. RNS Instrument and Verbal Consent Script.docx E. RNS Instrument and Verbal Consent Script.docx Yes Yes Fillable Fileable
Form and Instruction G. Coalition Survey Instrument and Web Consent G. Coalition Survey Instrument and Web Consent.docx G. Coalition Survey Instrument and Web Consent.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,852 0
   
State, Local, and Tribal Governments
 
   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 1,852 0 0 1,852 0 0
Annual IC Time Burden (Hours) 1,242 0 0 1,242 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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