Law Enforcement Suicide Data Collection

Documents and Forms

Document Name Document Type
Form Unnumbered Law Enforcement Suicide Data Collection Form and Instruction
Unnumbered Law Enforcement Suicide Data Collection LESDC Pilot Questionnaire OPM - Copy.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Law Enforcement Suicide Data Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Unnumbered	Law Enforcement Suicide Data Collection	LESDC Pilot Questionnaire OPM - Copy.docx		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 %

	Requested	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

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.