988 Cooperative Agreements Monitoring Program

Forms and Documents

Document Name	Status
Form Lifeline Key Metri 988 Lifeline Administrator Form and Instruction	Unchanged
Form Crisis Center Data 988 Crisis Center Follow Up Cooperative Agreements Form and Instruction	Modified
Form State/Territory: M State and Territory Cooperative Agreements Form and Instruction	Modified
Form Tribal Govt: Month Tribal Cooperative Agreements Form and Instruction	Modified
0930-0394 988 Cooperative Agreements Monitoring SSA_ 12.15.23.docx Supporting Statement A	2023-12-15

IC Document Collections

IC ID	Document Title	Status
260138	988 Lifeline Administrator Form and Instruction	Unchanged
260137	988 Crisis Center Follow Up Cooperative Agreements Form and Instruction	Modified
260136	State and Territory Cooperative Agreements Form and Instruction	Modified
260135	Tribal Cooperative Agreements Form and Instruction	Modified

ICR Details

OMB Control No: 0930-0394	ICR Reference No: 202312-0930-001
Status: Received in OIRA	Previous ICR Reference No: 202305-0930-001
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: 988 Cooperative Agreements Monitoring Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/15/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/29/2024
Responses	3,031	2,147
Time Burden (Hours)	4,064	2,944
Cost Burden (Dollars)	0	0

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Abstract: The collection of this information is critical to successfully oversee operational response and quality of service through the 988 Suicide and Crisis Lifeline to ensure connections to care for individuals in suicidal crisis or emotional distress contacting in for 988 phone, chat and text support for connecting local, state/territory and national outcomes and monitoring contractual obligations for current and future 988 grant programs. Much of this information is already embedded in the current 988 Suicide and Crisis Lifeline network administrator grants, the 988 state and territory grant program, or the 988 Tribal Response grant program.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 66864	09/28/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 83955	12/01/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
988 Crisis Center Follow Up Cooperative Agreements	Crises Center Monthly Agenda Template, Crisis Center Data Reporting Elements, Crises Center Follow-Up: Semi-Annual Data Table	Crisis Center Data Reporting Elements ,   Crises Center Follow-Up: Semi-Annual Data Table ,   Crises Center Monthly Agenda Template
988 Lifeline Administrator	Lifeline Key Metrics (Monthly), Lifeline Monthly Progress Reports	Lifeline Key Metrics (Monthly) ,   Lifeline Monthly Progress Reports
State and Territory Cooperative Agreements	State/Territory: Monthly Call Agenda, State/Territory: Sustainability Plan, State/Territory QI Plan, State/Territory: Cohort 1 Quarterly Report, State/Territory: Monthly Key Metrics, State/Territory: Chat and Text Report , State/Territory: Communications Plan , State/Territory: Mobile Crisis and 988-911 reports, State/Territory: Cohort 2 Monthly Meeting Agenda, State/Territory: Cohort 2 Quarterly Report, State/Territory: Cohort 2 Required Data	State/Territory: Monthly Key Metrics ,   State/Territory: Chat and Text Report ,   State/Territory: Communications Plan ,   State/Territory: Mobile Crisis and 988-911 reports ,   State/Territory: Cohort 2: Monthly Meeting Agenda ,   State/Territory: Cohort 2 Quarterly Report ,   State/Territory: Cohort 2 Required Data ,   State/Territory QI Plan ,   State/Territory: Cohort 1 Quarterly Report ,   State/Territory: Monthly Call Agenda ,   State/Territory: Sustainability Plan
Tribal Cooperative Agreements	Tribal Govt: Monthly Meeting Agenda, Tribal Govt: Quality Improvement Plan, Tribal Gov't: Semi-Annual Progress Report	Tribal Govt: Monthly Meeting Agenda ,   Tribal Govt: Quality Improvement Plan ,   Tribal Gov't: Semi-Annual Progress Report

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,031	2,147	0	884	0	0
Annual Time Burden (Hours)	4,064	2,944	0	1,120	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: SAMHSA proposes a new annualized burden hours of 4,064, an increase of 1,120 hours from the prior estimate of 2,944 annualized burden hours. Proposed change in the burden hours is due to new elements due to the addition of new cohort activity expansion requirements. Also, some elements, such as demographic data collection, have been added due to required activities in congressional appropriation which were not incorporated into previous cohort activities.

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Annual Cost to Federal Government: $96,421

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/15/2023

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