OMB control number

Department of Defense Suicide Event Report (DoDSer)

OMB 0720-0058 ยท DOD/DODOASHA.

OMB 0720-0058

The DoD Suicide Event Report (DoDSER) standardizes suicide surveillance efforts across the services (Air Force, Army, Marine Corps, and Navy) to support the DoD's suicide prevention mission. Information collected is intended to inform programs and research designed to prevent suicide and suicide behaviors among military personnel. Respondents may include but are not limited to individuals familiar with event details to include colleagues, supervisors, medical and behavioral health providers, family members, and friends. This revision of the DoDSER form is designed to improve overall data collection quality.

The latest form for Department of Defense Suicide Event Report (DoDSer) expires 2022-10-31 and is listed under ICR 201907-0720-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
DoDSER_Privacy_Act_Statement_2019-08-29.pdf Supplementary Document
0720-0058_ DoDSER SSN Justification Memo_2.17.2019.pdf Supplementary Document
0720-0058_SSA_08.29.19.docxSupporting Statement A
DoDSER Suicide Event Report Other-Data Fields

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201907-0720-001 Revision of a currently approved collection 2019-08-29 Approved without change
201604-0720-002 Revision of a currently approved collection 2016-05-17 Approved without change
201409-0720-001 Existing collection in use without an OMB Control Number 2014-09-16 Approved with change