Information Collection

Suicide Prevention Capability Stakeholder Survey

IC 254802 under ICR 202302-0712-009 · OMB 0712-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0703-SPSS Stakeholder Survey_04.26.2022.docx	Other-Survey
0703-SPSS_ADNforMAXSurvey_04.26.2022.docx	Other-Agency Disclosure Notice

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-Agency Disclosure Notice					Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,215

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	7,215	7,215
Annual IC Time Burden (Hours)	1,804	1,804
Annual IC Cost Burden (Dollars)	37,193	37,193

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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