Information Collection

Organizational Staff/ Crisis Agency Manager

IC 277021 under ICR 202508-0930-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Crisis Continuum P Organizational Staff/ Crisis Agency Manager	Form and Instruction
Form Crisis Continuum P Crisis Continuum Provider Survey Organizational Staff/ Crisis Agency Manager	Form and Instruction
Crisis Continuum P Crisis Continuum Provider Survey 988_Att C. Crisis Continuum Provider Survey_CCPS_03202025_Clean.docx	Form and Instruction
Crisis Continuum P Crisis Continuum Provider Survey 988_Att C. Crisis Continuum Provider Survey_CCPS_01262026_Clean.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Crisis Continuum Provider Survey				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Organizational Staff/ Crisis Agency Manager

FR Citation: 75 FR 28264

Number of Respondents: 1,034

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,034	1,034
Annual IC Time Burden (Hours)	1,551	1,551
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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