Notification Email

Attachment D_Notification Email.docx

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

Notification Email

OMB: 0920-0879

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Attachment D – Notification E-mail


Subject: CDC’s Survey State of State, Territorial and Tribal Suicide Prevention: An Environmental Scan – Link to Survey


Dear [Salutation] [Last Name],


Three days ago, Dr. James Mercy, Director of the Centers for Disease Control and Prevention’s Division of Violence Prevention in the National Center for Injury Prevention and Control invited you to participate in survey titled, The State of State, Territorial, and Tribal Suicide Prevention: An Environmental Scan. The survey is now open for completion.


As a reminder, the survey is being administered to state, territorial, and tribal (S/T/T) leaders in suicide prevention. Participants include suicide prevention coordinators (or their equivalents), grant project directors, and suicide prevention coalitions collaborating with or supporting S/T/T prevention efforts, in all 50 states, Washington, D.C., 5 U.S. Territories, and among 15 tribal grantees.


Survey responses will be used to identify (S/T/T) factors that may be related to increases and differences in suicide rates across the country, to inform improvements in suicide prevention strategies, to guide potential future funding opportunities for S/T/Ts, and to help meet the nation’s goal of reducing suicide rates 20% by 2025.


The survey includes information about the problem of suicide in your S/T/T, associated risk factors, suicide prevention infrastructure, suicide prevention plans, partners, prevention activities, and facilitators and barriers to prevention. All data will be stored securely throughout the data collection, analysis, and reporting periods and all results will be reported only in aggregate form.


The survey will take approximately 30 minutes to complete. Please use this link to access the survey: [link provided here].


The window for completion of the survey will be open for 4 weeks. To ensure that your answers are included in the results, please complete the survey by [INSERT DATE].

If you have any questions, please contact GEARS Project Director, Doryn Chervin, at [email protected] or 404-328-9850.

Thank you for joining us in this critical work to reduce suicide rates by completing this survey.


With sincere regards,



Dr. Deb Stone Dr. Doryn Chervin

Division of Violence Prevention GEARS, Inc.

[email protected] [email protected]

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment D_Notification Email
AuthorGraaf, Christine (CDC/OSTLTS/DPHPI)
File Modified0000-00-00
File Created2021-01-21

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