Student - Campus

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0286 can be found here:

Documents and Forms

Document Name Document Type
Form TUP-S Campus Student - Campus Form and Instruction
TUP-S Campus TUP-S Campus Att F-1. TUP-S Campus Dec2015.doc Form and Instruction
SMSS Campus SMSS Campus Att L-1. SMSS Campus Dec2015.docx Form and Instruction
Att F-2. TUP-S Campus Consent to Contact Form Dec2015.docx TUP-S Campus Consent to Contact Form IC Document

Information Collection (IC) Details

IC Title:	Student - Campus	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	TUP-S Campus	TUP-S Campus	Att F-1. TUP-S Campus Dec2015.doc		Yes	Yes	Fillable Fileable
Form and Instruction	SMSS Campus	SMSS Campus	Att L-1. SMSS Campus Dec2015.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 901	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	901	-7,901	8,802
Annual IC Time Burden (Hours)	89	-3,620	3,709
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
TUP-S Campus Consent to Contact Form	Att F-2. TUP-S Campus Consent to Contact Form Dec2015.docx	12/23/2015

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