Answer:
The structure is shown below.
2,0,0,2. (There's no alternative, probably it was missing letter "e").
Explanation:
To draw the Lewis structure, we must put the central atom surrounded by the other atoms, each one with its valence electrons. The central atom is the atom that has more valence electrons.
Hydrogen has 1 valence electrons (so it does only one bond), and selenium has 6 valence electrons. So, Se does one simple bond with each hydrogen. The structure is shown below.
As we can see, there're 2 single bonds, 0 double bonds, 0 triple bonds, and 4 unshared electrons (2 pairs) in the central atom.