VA Suicide Prevention 2.0 Program - Community Opinion Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2900-0911_White Paper_Non-Sub Change Req_VA Suicide Prev 2.0 Prog-Comm Opinion Survey_05012025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-05-22	Repair queued
2900-0911_White Paper_Non-Sub Change Req_VA Suicide Prev 2.0 Prog-Comm Opinion Survey_05012025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-05-22	Repair queued
Support Stmt B_Suicide Prevention 2.0 Prog-Community Opinion Survey_updated Nov 2021.docx	Supporting Statement B	Uploaded 2022-06-10	Available
Support Stmt B_Suicide Prevention 2.0 Prog-Community Opinion Survey_updated Nov 2021.docx	Supporting Statement B	Uploaded 2022-06-10	Repair queued
SSA_2900-0911_VA Suicide Prev 2.0 Prog-Comm Opinion Survey_Non-Sub Change Req_rev Apr 2025.docx	Supporting Statement A	Uploaded 2025-05-22	Available
SSA_2900-0911_VA Suicide Prev 2.0 Prog-Comm Opinion Survey_Non-Sub Change Req_rev Apr 2025.docx	Supporting Statement A	Uploaded 2025-05-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249496	VA Suicide Prevention 2.0 Program - Community Opinion Survey	Other-Survey	Modified

ICR Details

OMB Control No: 2900-0911	ICR Reference No: 202504-2900-011
Status: Historical Active	Previous ICR Reference No: 202206-2900-009
Agency/Subagency: VA	Agency Tracking No: 2900-0911
Title: VA Suicide Prevention 2.0 Program - Community Opinion Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/28/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/22/2025
Terms of Clearance: This ICR Change to comply with EO 14168 (Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government) has been approved.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2025	08/31/2025	08/31/2025
Responses	10,000	0	10,000
Time Burden (Hours)	2,500	0	2,500
Cost Burden (Dollars)	0	0	0

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Abstract: The information VA is proposing to collect does not currently exist. It will be used in order to accomplish three aims: 1) collect baseline data on the knowledge and attitudes of adult US citizens living in specified communities about Veterans, Veteran suicide, and resources available to Veterans to reduce suicide, prior to the implementation of suicide prevention programs; 2) collect follow-up data in the same communities to assess whether those knowledge and attitudes have changed over time; and 3) determine whether the programs and policies implemented by a community resulted in positive change in knowledge and attitudes. The data will be utilized by the Office of Mental Health and Suicide Prevention in VA Central Office to measure the return on investment of significant resources that have been invested to support communities in their (that is, the communities’) efforts to reduce Veteran suicide. Specifically, the Community-Based Interventions (CBI) arm of VA’s “Suicide Prevention 2.0” initiative has launched two different initiatives whose goals are to increase the successful implementation of best practices to prevent Veteran suicide in local communities. The data will allow VA to measure a baseline level of expected outcomes, follow-up levels, and to explore the role of new programs in those changes. The data will be used to perform program planning and evaluation. The data will also be used by the State teams that are engaged in the Governor’s Challenge initiative. GC is one of the initiatives supported by SP2.0 and is structured so that State teams are provided training and technical assistance by VA to expand their efforts to implement suicide prevention programs in their State. This data collection will assist the State teams to assess the effects of their new programming or policies. The Suicide Prevention 2.0 Program - Community Opinion Survey has been updated pursuant to Executive Order 14168: Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. The gender question has been changed to “sex” and gender options have been deleted from the Survey.

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Authorizing Statute(s): US Code: 38 USC 527
  

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:
	86 FR 63455	11/16/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 8138	02/11/2022
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
VA Suicide Prevention 2.0 Program - Community Opinion 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	10,000	10,000	0	0	0	0
Annual Time Burden (Hours)	2,500	2,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,006,544

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.     Yes

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.     Yes

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: 05/22/2025

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