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View Information Collection (IC)

The State of State Suicide Prevention: An Environmental Scan 0920-0879-18AIZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0879 Suicide Prevention Web-based Survey - STT Suicide Prevention Coordinators Attachment B_Instrument Web Version.pdf NA Yes Yes Fillable Fileable
Form and Instruction 0920-0879 Suicide Prevention Web-based Survey - STT Suicide Prevention Grant Project Directors Attachment B_Instrument Web Version.pdf NA Yes Yes Fillable Fileable
Form and Instruction 0920-0879 Suicide Prevention Web-based Survey - Delegates Attachment B_Instrument Web Version.pdf NA Yes Yes Fillable Fileable
Form and Instruction 0920-0879 Suicide Prevention Telephone-based Survey - STT Suicide Prevention Coordinators Attachment H - Survey by Phone Script.docx NA No   Paper Only

Health Public Health Monitoring

 

213 0
   
State, Local, and Tribal Governments
 
   96 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 213 0 213 0 0 0
Annual IC Time Burden (Hours) 96 0 96 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Pre-Notification Email Attachment C_Pre-Notification Email.docx 05/29/2018
Notification Email Attachment D_Notification Email.docx 05/29/2018
Reminder Email 1 Attachment E_Reminder Email1.docx 05/29/2018
Reminder Email 2 Attachment F_Reminder Email2.docx 05/29/2018
Reminder Email 3 Attachment I_Reminder Email3.docx 05/29/2018
Reminder Call Script Attachment G_Reminder Call Script.docx 05/29/2018
Thank You Email Attachment J_Thank You Email.docx 05/29/2018
Supporting Statement A SOS-SCAN-SSA.DOCX 05/29/2018
Supporting Statement B SOS-SCAN-SSB.DOCX 05/29/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.