Information Collection Request

SAMHSA 988 Suicide & Crisis Lifeline and Crisis Services Program Evaluation

ICR 202508-0930-001 · OMB unassigned · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Client Key Informa Client Key Informant Interview Third Party Contact Form and Instruction New Available
Form Client Key Informa Client Key Informant Interview Direct Contact Form and Instruction New Available
Form Client Experience Client Experience Survey Form and Instruction New Repair queued
Form Client Experience Client Form and Instruction New Repair queued
Form Client Contact For Client Contact Form Supplement for Parents Form and Instruction New Repair queued
Form Client Contact For Parents/Caregivers Form and Instruction New Repair queued
Form Client Contact Dis Client Contact Disposition Form (All Participants) Form and Instruction New Available
Form Key Informant Case Key Informant Case Study Protocol Cost Sub Study Form and Instruction New Repair queued
Form Key Informant Inte Key Informant Interviews Case Study Protocol Form and Instruction New Repair queued
Form Key Informant Inte Organizational Staff/Crisis Agency Staff Form and Instruction New Repair queued
Form Crisis Continuum P Crisis Continuum Provider Survey Form and Instruction New Repair queued
Form Crisis Continuum P Organizational Staff/ Crisis Agency Manager Form and Instruction New Repair queued
Form System Implementat System Implementation Survey Form and Instruction New Repair queued
Form System Implementat Organizational Staff/Crisis System Administrator Form and Instruction New Repair queued
Centerstone Comments 988 Evaluation_7.25.25.pdf Public Comments Uploaded 2025-08-13 Repair queued
988 Evaluation Part A_01262026_Clean.docx Supporting Statement A Uploaded 2026-02-05 Available
988 Evaluation Part A_03202025_Clean.docx Supporting Statement A Uploaded 2025-08-12 Repair queued
988 Evaluation Part B_03202025_clean.docx Supporting Statement B Uploaded 2026-02-05 Repair queued
988 Evaluation Part B_03202025_Clean.docx Supporting Statement B Uploaded 2025-08-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
277024 Client Form and Instruction NewClient Key Informant Interview Third Party Contact
277024 Client Form and Instruction NewClient Key Informant Interview Direct Contact
277024 Client Form and Instruction NewClient Experience Survey
277024 Client Form and Instruction New
277023 Parents/Caregivers Form and Instruction NewClient Contact Form Supplement for Parents
277023 Parents/Caregivers Form and Instruction New
277022 Organizational Staff/Crisis Agency Staff Form and Instruction NewClient Contact Disposition Form (All Participants)
277022 Organizational Staff/Crisis Agency Staff Form and Instruction NewKey Informant Case Study Protocol Cost Sub Study
277022 Organizational Staff/Crisis Agency Staff Form and Instruction NewKey Informant Interviews Case Study Protocol
277022 Organizational Staff/Crisis Agency Staff Form and Instruction New
277021 Organizational Staff/ Crisis Agency Manager Form and Instruction NewCrisis Continuum Provider Survey
277021 Organizational Staff/ Crisis Agency Manager Form and Instruction New
277019 Organizational Staff/Crisis System Administrator Form and Instruction NewSystem Implementation Survey
277019 Organizational Staff/Crisis System Administrator Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2029 36 Months From Approved
68,865 0 0
49,223 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Client Client Experience Survey , Client Key Informant Interview Third Party Contact, Client Key Informant Interview Direct Contact ,   ,  
Organizational Staff/ Crisis Agency Manager Crisis Continuum Provider Survey
Organizational Staff/Crisis Agency Staff Key Informant Interviews Case Study Protocol, Key Informant Case Study Protocol Cost Sub Study, Client Contact Disposition Form (All Participants) ,   ,  
Organizational Staff/Crisis System Administrator System Implementation Survey
Parents/Caregivers Client Contact Form Supplement for Parents

table that charts list 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 68,865 0 0 68,865 0 0
Annual Time Burden (Hours) 49,223 0 0 49,223 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No