DoDSER Suicide Event Report

Department of Defense Suicide Event Report (DoDSer)

DoDSER Initial Log On and Intro Screen Shots

DoDSER Suicide Event Report

OMB: 0720-0058

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0720-0058 can be found here:

2019-08-29 - Revision of a currently approved collection

Document [pdf]

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DoDSER Screen Shots
5 September 2014
This document shows the series of screen shots that are presented to DoDSER users leading up
to the DoDSER data collection items (data entry). Every screen shot that a User sees leading up
to selecting the decedent’s military Service (the first case decision point) is shown below.

OMB Control # 0720-XXXX
Expiration Date XX/XX/XXXX

OMB Control # 0720-XXXX
Expiration Date XX/XX/XXXX

OMB Control # 0720-XXXX
Expiration Date XX/XX/XXXX

OMB Control # 0720-XXXX
Expiration Date XX/XX/XXXX

OMB Control # 0720-XXXX
Expiration Date XX/XX/XXXX

OMB Control # 0720-XXXX
Expiration Date XX/XX/XXXX

File Type	application/pdf
File Modified	2014-09-14
File Created	2014-09-09