Information Collection

Organizational Staff/Crisis Agency Staff

IC 277022 under ICR 202508-0930-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Key Informant Inte Organizational Staff/Crisis Agency Staff	Form and Instruction
Form Key Informant Inte Key Informant Interviews Case Study Protocol Organizational Staff/Crisis Agency Staff	Form and Instruction
Form Key Informant Case Key Informant Case Study Protocol Cost Sub Study Organizational Staff/Crisis Agency Staff	Form and Instruction
Form Client Contact Dis Client Contact Disposition Form (All Participants) Organizational Staff/Crisis Agency Staff	Form and Instruction
Key Informant Inte Key Informant Interviews Case Study Protocol 988_Att D. Key Informant Interviews Case Study Protocol_KII-CSP_03202025_Clean.docx	Form and Instruction
Key Informant Inte Key Informant Interviews Case Study Protocol 988_Att D. Key Informant Interviews Case Study Protocol_KII-CSP_03202025_Clean.docx	Form and Instruction
Key Informant Case Key Informant Case Study Protocol Cost Sub Study 988_Att E. Key Informant Interviews Case Study Protocol Cost Sub Study_KII-CSS_03202025_Clean.docx	Form and Instruction
Key Informant Case Key Informant Case Study Protocol Cost Sub Study 988_Att E. Key Informant Interviews Case Study Protocol Cost Sub Study_KII-CSS_03202025_Clean.docx	Form and Instruction
Client Contact Dis Client Contact Disposition Form (All Participants) 988_Att F. Client Contact Disposition Form (All Participants)_CCDF_03202025_Clean.docx	Form and Instruction
Client Contact Dis Client Contact Disposition Form (All Participants) 988_Att F. Client Contact Disposition Form (All Participants)_CCDF_03202025_Clean.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Organizational Staff/Crisis Agency Staff

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Key Informant Interviews Case Study Protocol	Yes	Yes	Fillable Fileable
Form and Instruction	Key Informant Case Study Protocol Cost Sub Study	Yes	Yes	Fillable Fileable
Form and Instruction	Client Contact Disposition Form (All Participants)	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Organizational Staff/Crisis Agency Staff

FR Citation: 74 FR 28264

Number of Respondents: 6,048

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	18,144	18,144
Annual IC Time Burden (Hours)	9,979	9,979
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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