View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Epi-Aid Investigation of an increase in suicide in Ohio, 2022 0920-1243-23AF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1243 Focus Group Guide Questions Attachment 2_OH suicide prevention Focus Group Guide Questions_OMB_final.docx Yes No Fillable Fileable
Form 0920-1243 Interview Guide Questions Attachment 3 OH Suicide prevention Interview Guide Questions_OMB_final.docx Yes No Fillable Fileable

Health Public Health Monitoring

 

20 0
   
State, Local, and Tribal Governments
 
   0 %

  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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter of Invitation Letter of Invitation_Ohio_8.13.22.pdf 10/13/2022
Privacy Impact Assessment Attachment 4_Suicide Epi-Aid_PIA.pdf 10/13/2022
IRB determination Attachment 5_Suicide Epi-Aid_ IRB Determination.docx 10/13/2022
GenIC Request Template Protocol Template Generic Suicide OMB_1243- OH_EpiAid - 10.12.22_final.docx 10/13/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.