Project Evaluator

Zero Suicide Evaluation

Documents and Forms

Document Name Document Type
Form Prevention Strateg Project Evaluator Form and Instruction
Prevention Strateg Prevention Strategies Inventory Att B. Prevention Strategies Inventory_OMB_clean_Validations11.14.24.docx Form and Instruction
Training Activity Training Activity Summary Page Att G. Training Activity Summary Page_OMB_clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Project Evaluator	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	Prevention Strategies Inventory	Prevention Strategies Inventory	Att B. Prevention Strategies Inventory_OMB_clean_Validations11.14.24.docx		Yes	Yes	Fillable Fileable
Form and Instruction	Training Activity Summary Page	Training Activity Summary Page	Att G. Training Activity Summary Page_OMB_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: GLS National Outcomes Evaluation Suicide Prevention Data Center	FR Citation: 75 FR 28264

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,120	1,120
Annual IC Time Burden (Hours)	515	515
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.