Information Collection

Survey of Suicide Prevention Care Standards Among VCC Providers

IC 247703 under ICR 202007-2900-004 · OMB 2900-0770.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
QI Survey of Suicide Prevention Care Standards among VCCP Providers_updated 2021.docx	Other-Survey
Generic Supporting Statement_Survey of Suicide Prevention Standards among VCCP Providers_updated 2021.docx Generic Supp Statement - Survey of Suicide Prevention Care Standards among VCC Providers	IC Document

IC Title:

Survey of Suicide Prevention Care Standards Among VCC Providers

Agency IC Tracking Number:

VHA-2900-0770

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
Other-Survey					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,950

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	2,950	2,950
Annual IC Time Burden (Hours)	738	738
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Supp Statement - Survey of Suicide Prevention Care Standards among VCC Providers		07/30/2021

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

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