Information Collection

NIMH Late-Life Suicide Workshop (NIMH)

IC 243181 under ICR 201906-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIMH Late-Life Suicide Workshop (NIMH)	Form
1 NIMH Late-Life Suicide Workshop Registration Form NIMH Late-Life Suicide Workshop Registration Form.docx	Form
NIH Generic 0740 Template_NIMH Late-Life Suicide Workshop Registration.docx sub-study for NIMH Late-Life Suicide Workshop	IC Document

IC Title:

NIMH Late-Life Suicide Workshop (NIMH)

Agency IC Tracking Number:

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
Form	1	NIMH Late-Life Suicide Workshop Registration Form	NIMH Late-Life Suicide Workshop Registration Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
sub-study for NIMH Late-Life Suicide Workshop	NIH Generic 0740 Template_NIMH Late-Life Suicide Workshop Registration.docx	08/14/2020

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