Information Collection

NIMH Late-Life Suicide Workshop (NIMH)

IC 243181 under ICR 202104-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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
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: Unchanged

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
	Requested	Previously Approved
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.