Information Collection Request

988 Cooperative Agreements Monitoring Program

ICR 202305-0930-001 · OMB 0930-0394 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0930-0394 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form Lifeline Key Metri 988 Lifeline Administrator	Form and Instruction	New	Available
Form Lifeline Key Metri 988 Lifeline Administrator	Form and Instruction	New	Repair queued
Form Crisis Center Data 988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction	New	Available
Form Crisis Center Data 988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction	New	Missing upstream
Form State/Territory: M State and Territory Cooperative Agreements	Form and Instruction	New	Available
Form State/Territory: M State and Territory Cooperative Agreements	Form and Instruction	New	Repair queued
Form Tribal Govt: Semi Tribal Cooperative Agreements	Form and Instruction	New	Available
Form Tribal Govt: Semi Tribal Cooperative Agreements	Form and Instruction	New	Repair queued
0930-NEW_988 Cooperative Agreements Monitoring SSA_ final 5-26-2023.docx	Supporting Statement A	Uploaded 2023-05-26	Repair queued
0930-NEW_988 Cooperative Agreements Monitoring SSA_ final 5-8-2023.docx	Supporting Statement A	Uploaded 2023-05-10	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
260138	988 Lifeline Administrator	Form and Instruction	New
260138	988 Lifeline Administrator	Form and Instruction	New
260137	988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction	New
260137	988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction	New
260136	State and Territory Cooperative Agreements	Form and Instruction	New
260136	State and Territory Cooperative Agreements	Form and Instruction	New
260135	Tribal Cooperative Agreements	Form and Instruction	New
260135	Tribal Cooperative Agreements	Form and Instruction	New

Record metadata
Status	Active
Agency/Subagency	HHS/SAMHSA
OMB Control No	0930-0394
Type of Information Collection	New collection (Request for a new OMB Control Number)
Date Submitted to OIRA	2023-05-11
Requested Expiration Date	2023-05-26