State, Local or Tribal Governments

F
ederal Communications Commission

Washington, D.C. 20554

Approved by OMB

3060-1301

Expires: March 31, 2025

Estimated time per response: 10-55 hours

Annual Collection of Information

Related to the Collection and Use of 988 Fees by States and Other Jurisdictions

Pursuant to OMB authorization 3060-1301, the FCC’s Wireline Competition Bureau (Bureau) seeks the following specific information in order to fulfill the Commission’s obligations under Section 4(b) of the National Suicide Hotline Designation Act of 2020:

Instructions for Filling Out the Questionnaire

Please read and follow these general instructions:

• Please complete all applicable sections of this form.

  • Blank responses, “None,” “Unknown,” or “N/A” are acceptable.

  • If no statute or funding mechanism has been established for the purposes of 988 support or implementation, please respond to Sections A and B1, and then end the survey.

• Please enter only numerical responses where requested.

  • Dollar or percentage signs, decimal points, and thousands comma separators are acceptable.

  • To facilitate the Bureau’s calculations for the Annual 988 Fee Accountability Report, please avoid stray characters such as: *, ~, (), or [] in numeric responses.

• Unless otherwise directed, please provide the requested information directly in response to this form, rather than submitting, referring to, and/or relying on supplemental materials.

• If the reporting entity submitting the questionnaire is including responsive information from subdivisions, e.g., counties, municipalities, or other local jurisdictions, please consolidate any separate response forms (and/or responses to individual questions) completed by those subdivisions into a single response form for the entire reporting entity.

• All responses to questions requesting information for the year ending December 31, 2022, should cover the period of January 1, 2022 to December 31, 2022.

• Sections B and C request general information about the reporting entities’ authority to establish a 988 funding mechanism and authority to determine how 988 fees are collected, regardless of whether any 988 fees were actually collected and distributed during the period of January 1, 2022 to December 31, 2022.

• For Sections D, E, and F, the year ending December 31, 2022 refers to the period of January 1, 2022 to December 31, 2022.

  • Section D requests a detailed description of the uses of 988 fees collected during the year ending December 31, 2022, regardless of when the 988 fees were collected.

  • Section E requests a detailed description of 988 fees collected and other sources of 988 funding during the year ending December 31, 2022, regardless of whether those fees or resources were expended.

  • Section F requests a detailed description of fees collected for 988 purposes and made available or used for 988 purposes during the year ending December 31, 2022.

Section 4(b) of the National Suicide Hotline Designation Act of 2020 states:

“FEE ACCOUNTABILITY REPORT.—To ensure efficiency, transparency, and accountability in the collection and expenditure of a fee or charge for the support or implementation of 9–8–8 services, not later than 2 years after the date of the enactment of this Act, and annually thereafter, the Commission shall submit to the Committees on Commerce, Science, and Transportation and Appropriations of the Senate and the Committees on Energy and Commerce and Appropriations of the House of Representatives a report that—

(1) details the status in each State, political subdivision of a State, Indian Tribe, or village or regional corporation serving a region established pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601 et seq.) of the collection and distribution of such fees or charges; and

(2) includes findings on the amount of revenues obligated or expended by each State, political subdivision of a State, Indian Tribe, or village or regional corporation serving a region established pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601 et seq.) for any purpose other than the purpose for which any such fees or charges are specified.”

1. Filing Information

1. Name of Filing Entity

State (Or Political Subdivision Thereof), Indian Tribe, Village, Regional Corporation, or Other Jurisdiction

2. Name, Title and Organization of Individual Filing Report

Name	Title	Organization

2. Description of Authority Enabling Establishment of 988 Funding Mechanisms

1. Has your state, or any political subdivision, Indian Tribe, village, or regional corporation therein as defined by Section 4(a)(1) of the National Suicide Hotline Designation Act of 2020, established a funding mechanism designated for or imposed for the purposes of 988 support or implementation? Check one.

• Yes …………………..

• No ………………..…..

If NO, end survey.

1a. If YES, provide a citation to the legal authority for the funding mechanism.

2. Which of the following best describes the type of authority arrangement for the collection of 988 fees? Check one.

• The state (or political subdivision), Indian Tribe, village, or regional corporation collects the fees …………………………………………………

• A local authority collects the fees ………………………..

• A hybrid approach where two or more governing bodies

(e.g., state/political subdivision/Indian Tribe/village/regional corporation and local authority) collect the fees ……………..………………………

3. Describe how the funds collected are made available to any state (or political subdivision), Indian Tribe, village, or regional corporation.

3. Description of State (Or Political Subdivision), Indian Tribe, Village, Regional Corporation, or Other Jurisdictional Authority That Determines How 988 Fees Are Spent

Indicate which entities in your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority have the authority to approve the expenditure of funds collected for 988 purposes.
Jurisdiction	Authority to Approve Expenditure of Funds (Check one)
	Yes	No
State, Indian Tribe, Village, or Regional Corporation
Local (e.g., political subdivision, county, city, municipality)
1b. Please briefly describe any limitations on the approval authority per jurisdiction (e.g., limited to fees collected by the entity, limited to wireline or wireless service, etc.).

2. Has your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority established a funding mechanism that mandates how collected funds can be used? Check one.

• Yes …………………..

• No ………………..…..

2a. If you checked YES, provide a legal citation to the funding mechanism of any such criteria.

2b. If you checked NO, describe how your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority decides how collected funds can be used.

4. Description of Uses of Collected 988 Fees

1. For the year ending December 31, 2022, provide a statement identifying with specificity all activities, programs, and organizations for whose benefit your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority has obligated or expended funds collected for 988 purposes, and how these activities, programs, and organizations support 988 services or enhancements of such services.

Please identify the allowed uses of the collected funds. Check all that apply.
Type of Cost		Yes	No
Operating Costs	Lease, purchase, maintenance of customer premises equipment (CPE) (hardware and software)
	Lease, purchase, maintenance of building/facility
Personnel Costs	Crisis counselors’ salaries
	Training of crisis counselors
Administrative Costs	Program administration
	Travel expenses
	Administrative personnel
Mobile Dispatch Costs	Costs related to dispatch (e.g., equipment) of mobile crisis teams
Grant Programs	Grants paid for through the use of collected 988 fees	If YES, see 2a.
Other	Other allowed uses for collected 988 fees	If YES, see 2b.
2a. During the year ending December 31, 2022, describe the grants that your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority paid for through the use of collected 988 fees, and the purpose of the grant.
2b. During the year ending December 31, 2022, describe any other costs that your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority allows for use of collected 988 fees.

5. Description of 988 Fees Collected

For the year ending December 31, 2022, please describe the amount of the fees or charges imposed for the implementation and support of 988 services. Please distinguish among state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority for each service type.
Service Type	Fee/Charge Imposed	Jurisdiction Receiving Remittance (e.g., state, county, local authority, Indian Tribe, village or regional corporation or a combination)
Wireline
Wireless
Prepaid Wireless
Voice Over Internet Protocol (VoIP)
Other

2. For the year ending December 31, 2022, please report the total amount collected pursuant to the assessed fees or charges described in Question E 1.

Service Type	Total Amount Collected ($)
Wireline
Wireless
Prepaid Wireless
Voice Over Internet Protocol (VoIP)
Other - Interest
Total

2a. If an amount cannot be provided, please explain why.

3. Please identify any other sources of 988 funding.

Question	Yes	No
For the year ending December 31, 2022, were any 988 fees that were collected by your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority combined with any federal, state, local, Tribal, village, or regional corporation funds, grants, special collections, or general budget appropriations that were designated to support 988 services? Check one.
4a. If YES, please describe the funds and amounts that were combined with 988 fees.

Please provide an estimate of the proportional contribution from each funding source towards the total cost to support 988 in your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdiction.	Percent
State/Indian Tribe/Village/Regional Corporation 988 Fees	%
Local/Political Subdivision 988 Fees	%
General Fund – State/Indian Tribe/Village/Regional Corporation	%
General Fund – County/Political Subdivision	%
Federal Grants	%
State/Indian Tribe/Village/Regional Corporation Grants	%

6. Description of Diversion or Transfer of 988 Fees for Other Uses

Question		Yes	No
In the year ending December 31, 2022, were funds collected for 988 purposes by your state (or political subdivision), Indian Tribe, village, regional corporation, or other jurisdictional authority made available or used solely for the purposes designated by the funding mechanism? Check one.
1a. If NO, please identify what amount of funds collected for 988 purposes were made available or used for any purposes other than those designated by the funding mechanism, or were used for purposes otherwise unrelated to 988 implementation or support, including any funds transferred, loaned, or otherwise used for the state's general fund. Along with identifying the amount, please include a statement identifying the non-related purposes for which the collected 988 funds were made available or used.
Amount of Funds ($)	Identify the non-related purpose(s) for which the 988 funds were used. (Add lines as necessary)

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