National Suicide Prevention Lifeline/Crisis Center Call Log

Forms and Documents

Document	Type	Status	Availability
Form Attachment A - Cal Crisis Center Call Log	Form and Instruction	New	Repair queued
Call Log OMB Supporting Statement (2-20-09).doc	Supporting Statement B	Uploaded 2009-04-02	Repair queued
Attachment C (Cover letter) (2).doc	Supplementary Document	Uploaded 2009-04-02	Available
Call Log OMB Supporting Statement (2-20-09).doc	Supporting Statement A	Uploaded 2009-04-02	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
188784	Crisis Center Call Log	Form and Instruction	New

ICR Details

OMB Control No: 0930-0301	ICR Reference No: 200904-0930-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: National Suicide Prevention Lifeline/Crisis Center Call Log
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/20/2009
	Date Received in OIRA: 04/14/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2012	36 Months From Approved
Responses	54,840	0	0
Time Burden (Hours)	4,108	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Call Log will collect basic information so that SAMHSA can monitor caller trends and enhance services provided by networked centers. With the data collected (including date, time of day, caller age, gender, ethnicity, veteran status, what prompted the call, and how the caller heard about Lifeline), SAMHSA will be able to measure which populations Lifeline is reaching and when particular groups are calling, and report trends to the network membership and the public, as appropriate. Monitoring the demographics of crisis hotline users and their presenting problems is critical to knowing who is being served, whether the individuals most at risk for suicidal behavior are being served, tailoring hotline services and counselor training to the needs of callers in crisis, and marketing services to reach individuals at highest risk to increase their access to Lifeline services.

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Authorizing Statute(s): US Code: 5 USC 520A Name of Law: CMHS
  

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:
	73 FR 14825	03/19/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 14807	04/01/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Crisis Center Call Log	Attachment A - Call Log, Attachment B - Call Log (Spanish version)	Attachment A - Call Log ,   Attachment B - Call Log (Spanish version)

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ICR Summary of Burden

	Total Approved	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	54,840	0	0	54,840	0	0
Annual Time Burden (Hours)	4,108	0	0	4,108	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: This is a new data collection.

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Annual Cost to Federal Government: $389,010

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

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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: 04/14/2009

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