Youth Suicide Prevention Pre and Post Survey

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0970-0401

IC ID: 258802

Documents and Forms
Document Name
Document Type
Other-Attachment A: Survey
Other-Attachment A: Survey
Other-Attachment B: Survey
Other-Attachment B: Survey
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Youth Suicide Prevention Pre and Post Survey FYSB
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Attachment A: Survey Youth Suicide Prevention pre-survey - Attachment A .docx Yes Yes Fillable Printable
Other-Attachment B: Survey Youth Suicide Prevention post-survey Attachment B.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

90 0
   
Individuals or Households
 
   25 %

  Requested 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 90 0 0 0 0 90
Annual IC Time Burden (Hours) 7 0 0 0 0 7
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Submission Template Youth Suicide Prevention OMB application.docx 02/27/2023
PRA Language Slide OMB Slide SRAE Topical Training.pptx 02/27/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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