[NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire

[OADC] CDC Usability and Digital Content Testing

OMB: 0920-1050

IC ID: 274497

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[NCIPC] Comprehensive Suicide Prevention (CSP) Evaluation Learning Network Questionnaire 0920-25-0048
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a CSP Feedback Questionnaire Att 1 CSP_Feedback Questionnaire_ver02_final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

320 0
   
State, Local, and Tribal Governments
 
   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 320 0 0 0 0 320
Annual IC Time Burden (Hours) 53 0 0 0 0 53
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CSP Feedback Questionnaire Screen Shot Att 1 CSP_FeedbackQuestionnaire screen shot ver02.pdf 03/20/2025
Privacy Determination PII-Privacy Act-Determination_CSP Feedback Questionnaire.pdf 03/20/2025
GenIC Request Template 1050 request_ CSP_EvaluationLearningNetwork_ver02_final.docx 03/20/2025
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