Information Collection

VA Suicide Prevention 2.0 Program - Community Opinion Survey

IC 249496 under ICR 202504-2900-011 · OMB 2900-0911.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0911 can be found here:

Documents and Forms

Document Name Document Type
2900-0911_Community Opinion Survey (COS)_rev to comply w EO 14168_May 2025.pdf Other-Survey
2900-0911_Community Opinion Survey (COS)_rev to comply w EO 14168_May 2025.pdf Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VA Suicide Prevention 2.0 Program - Community Opinion Survey	Agency IC Tracking Number:	2900-NEW

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
Other-Survey			2900-0911_Community Opinion Survey (COS)_rev to comply w EO 14168_May 2025.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	2,500	2,500
Annual IC Cost Burden (Dollars)	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.