USMC Suicide Prevention Stakeholder Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
649005p.pdf	Supplementary Document	Uploaded 2022-07-27	Repair queued
134222p.pdf	Supplementary Document	Uploaded 2022-07-27	Repair queued
0703-SPSS_SSA_02.10.2023.docx	Supporting Statement A	Uploaded 2023-02-10	Repair queued
0703-SPSS_SSB_01.30.2023.docx	Supporting Statement B	Uploaded 2023-01-30	Repair queued
0703-SPSS_Invitation Email_2.9.2023.docx	Supplementary Document	Uploaded 2023-02-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
254802	Suicide Prevention Capability Stakeholder Survey	Other-Survey	New

ICR Details

OMB Control No: 0712-0009	ICR Reference No: 202302-0712-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/USMC	Agency Tracking No: 0703-SPSS
Title: USMC Suicide Prevention Stakeholder Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/16/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/16/2023
Terms of Clearance: This collection is approved based on the revised materials provided by the Department. DOD is reminded publication of the results need to be cleared by OMB before they are released.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	36 Months From Approved
Responses	7,215	0	0
Time Burden (Hours)	1,804	0	0
Cost Burden (Dollars)	37,193	0	0

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Abstract: Marine and Reserve Affairs, Marine and Family Programs is evaluating its Suicide Prevention Capability. One component of this effort involves gathering information from various stakeholders who contribute directly or indirectly to suicide prevention efforts in the U.S. Marine Corps (USMC). Stakeholders will be asked about priorities in suicide prevention, job duties related to suicide prevention, communication with other stakeholders, and perceived successes and perceived barriers in suicide prevention. The USMC Suicide Prevention Stakeholder Survey will provide information vital for continuous process improvement. Information collected from this effort will be used to support Marines experiencing critical stressors, identify gaps in the suicide prevention system, and identify best practices and collaboration efforts between suicide prevention stakeholders.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 25476	04/29/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 47733	08/04/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Suicide Prevention Capability Stakeholder Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	7,215	0	0	7,215	0	0
Annual Time Burden (Hours)	1,804	0	0	1,804	0	0
Annual Cost Burden (Dollars)	37,193	0	0	37,193	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection with a new associated burden.

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Annual Cost to Federal Government: $43,382

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/04/2022

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