SSG Fox SPGP - Participant Satisfaction Survey

Staff Sergeant Parker Gordon Fox - Suicide Prevention Grant Program (SSG Fox SPGP)

Documents and Forms

Document Name Document Type
Form 10-317c SSG Fox SPGP - Participant Satisfaction Survey Form
10-317c SSG Fox SPGP - Participant Satisfaction Survey SSG Fox SPGP_Participant Satisfaction Survey_10-317c_Final.docx Form
10-317c SSG Fox SPGP - Participant Satisfaction Survey SSG Fox SPGP_Participant Satisfaction Survey_10-317c_Final.docx Form

Information Collection (IC) Details

IC Title:	SSG Fox SPGP - Participant Satisfaction Survey	Agency IC Tracking Number:	2900-0904

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
Form	10-317c	SSG Fox SPGP - Participant Satisfaction Survey	SSG Fox SPGP_Participant Satisfaction Survey_10-317c_Final.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	1,250	1,250
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.