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Public Safety Officer Suicide Reporting Module
The National Violent Death Reporting System (NVDRS)
OMB: 0920-0607
IC ID: 251027
OMB.report
HHS/CDC
OMB 0920-0607
ICR 202503-0920-009
IC 251027
( )
Documents and Forms
Document Name
Document Type
Public Safety Officer Suicide Reporting Module
Form and Instruction
Public Safety Officer Suicide Module
ATT7~S8D.PDF
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Public Safety Officer Suicide Reporting Module
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
n/a
Public Safety Officer Suicide Module
ATT7~S8D.PDF
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
56
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 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
24,024
0
0
0
0
24,024
Annual IC Time Burden (Hours)
4,004
0
0
0
0
4,004
Annual IC Cost Burden (Dollars)
82,883
0
0
0
0
82,883
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.