SSG Fox SPGP - Intake Form & Assessments

Staff Sergeant Parker Gordon Fox - Suicide Prevention Grant Program (SSG Fox SPGP)

OMB: 2900-0904

IC ID: 253143

Information Collection (IC) Details

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SSG Fox SPGP - Intake Form & Assessments 2900-0904
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-317b SSG Fox SPGP - Intake Form & Assessments SSG Fox SPGP_Intake Form_10-317b_Final.docx Yes No Fillable Printable

Health Health Care Services

 

90 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,030 0 0 0 0 6,030
Annual IC Time Burden (Hours) 3,015 0 0 0 0 3,015
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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