Information Collection

Project Evaluator

IC 272545 under ICR 202411-0930-003 · OMB 0930-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Prevention Strateg Project Evaluator	Form and Instruction
Form Prevention Strateg Prevention Strategies Inventory Project Evaluator	Form and Instruction
Form Training Activity Training Activity Summary Page Project Evaluator	Form and Instruction
Prevention Strateg Prevention Strategies Inventory Att B. Prevention Strategies Inventory_OMB_clean_Validations11.14.24.docx	Form and Instruction
Prevention Strateg Prevention Strategies Inventory Att B. Prevention Strategies Inventory_OMB_clean_Validations11.14.24.docx	Form and Instruction
Training Activity Training Activity Summary Page Att G. Training Activity Summary Page_OMB_clean.docx	Form and Instruction
Training Activity Training Activity Summary Page Att G. Training Activity Summary Page_OMB_clean.docx	Form and Instruction

IC Title:

Project Evaluator

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
Form and Instruction	Prevention Strategies Inventory				Yes	Yes	Fillable Fileable
Form and Instruction	Training Activity Summary Page				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: GLS National Outcomes Evaluation Suicide Prevention Data Center

FR Citation: 75 FR 28264

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	1,120	1,120
Annual IC Time Burden (Hours)	515	515
Annual IC Cost Burden (Dollars)	0	0

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].