Information Collection

Law Enforcement Suicide Data Collection

IC 250573 under ICR 202412-1110-001 · OMB 1110-0082.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Unnumbered Law Enforcement Suicide Data Collection	Form and Instruction
Form Unnumbered Law Enforcement Suicide Data Collection Law Enforcement Suicide Data Collection	Form and Instruction
Unnumbered Law Enforcement Suicide Data Collection LESDC Pilot Questionnaire OPM - Copy.docx	Form and Instruction
Unnumbered Law Enforcement Suicide Data Collection LESDC Pilot Questionnaire OPM - Copy.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Unnumbered				Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	Previously Approved
Annual Number of Responses for this IC	50	-250	300
Annual IC Time Burden (Hours)	13	-137	150
Annual IC Cost Burden (Dollars)	0	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].