Zero Suicide Evaluation

OMB 0930-0401

OMB 0930-0401

Latest Forms, Documents, and Supporting Material

Document Name
Form Prevention Strateg Project Evaluator Form and Instruction
Form Consumer Study Int Clinicians/Providers Form and Instruction
Form Training Utilizati Healthcare Organization Staff Form and Instruction
Form Behavioral Health Grantee/Healthcare Organization Administrator Form and Instruction
Form Consumer Study Int Consumer Form and Instruction
0930-0401 No Material or Nonsubstantive Change-Zero Suicide.docx Justification for No Material/Nonsubstantive Change
ZS_SSA 11.21.24.docx Supporting Statement A
Att N. Public Law 114-255.pdf Supplementary Document
Att M. 2023-2026 samhsa-strategic-plan.pdf Supplementary Document
Att A. PublicHealthServiceAct_AmendedFebruary2024.pdf Supplementary Document
Project Evaluator Form and Instruction
Clinicians/Providers Form and Instruction
Healthcare Organization Staff Form and Instruction
Grantee/Healthcare Organization Administrator Form and Instruction
Consumer Form and Instruction

All Historical Document Collections

202509-0930-009	No material or nonsubstantive change to a currently approved collection	2025-09-30
202411-0930-003 Approved with change	New collection (Request for a new OMB Control Number)	2024-11-22

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