OMB control number

988 Cooperative Agreements Monitoring Program

OMB 0930-0394 · HHS/SAMHSA.

OMB 0930-0394

The collection of this information is critical to successfully oversee operational response and quality of service through the 988 Suicide and Crisis Lifeline to ensure connections to care for individuals in suicidal crisis or emotional distress contacting in for 988 phone, chat and text support for connecting local, state/territory and national outcomes and monitoring contractual obligations for current and future 988 grant programs. Much of this information is already embedded in the current 988 Suicide and Crisis Lifeline network administrator grants, the 988 state and territory grant program, or the 988 Tribal Response grant program.

The latest form for 988 Cooperative Agreements Monitoring Program expires 2027-01-31 and is listed under ICR 202509-0930-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form Lifeline Monthly P Lifeline Monthly Progress Reports	Form and Instruction
Form Lifeline Key Metri Lifeline Key Metrics (Monthly)	Form and Instruction
Form Lifeline Key Metri 988 Lifeline Administrator	Form and Instruction
Form Crises Center Mont Crises Center Monthly Agenda Template	Form and Instruction
Form Crises Center Foll Crises Center Follow-Up: Semi-Annual Data Table	Form and Instruction
Form Crisis Center Data Crisis Center Data Reporting Elements	Form and Instruction
Form Crisis Center Data 988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction
Form State/Territory: S State/Territory: Sustainability Plan	Form and Instruction
Form State/Territory: M State/Territory: Monthly Call Agenda	Form and Instruction
Form State/Territory: C State/Territory: Cohort 1 Quarterly Report	Form and Instruction
Form State/Territory QI State/Territory QI Plan	Form and Instruction
Form State/Territory: C State/Territory: Cohort 2 Required Data	Form and Instruction
Form State/Territory: C State/Territory: Cohort 2 Quarterly Report	Form and Instruction
Form State/Territory: C State/Territory: Cohort 2: Monthly Meeting Agenda	Form and Instruction
Form State/Territory: M State/Territory: Mobile Crisis and 988-911 reports	Form and Instruction
Form State/Territory: C State/Territory: Communications Plan	Form and Instruction
Form State/Territory: C State/Territory: Chat and Text Report	Form and Instruction
Form State/Territory: M State/Territory: Monthly Key Metrics	Form and Instruction
Form State/Territory: M State and Territory Cooperative Agreements	Form and Instruction
Form Tribal Gov't: Semi Tribal Gov't: Semi-Annual Progress Report	Form and Instruction
Form Tribal Govt: Quali Tribal Govt: Quality Improvement Plan	Form and Instruction
Form Tribal Govt: Month Tribal Govt: Monthly Meeting Agenda	Form and Instruction
Form Tribal Govt: Month Tribal Cooperative Agreements	Form and Instruction
0930-0394 988 No Material or Nonsubstantive Change.docx	Justification for No Material/Nonsubstantive Change
0930-0394 988 No Material or Nonsubstantive Change.docx	Justification for No Material/Nonsubstantive Change
0930-0394 988 No Material or Nonsubstantive Change.docx	Justification for No Material/Nonsubstantive Change
0930-0394 988 No Material or Nonsubstantive Change.docx	Justification for No Material/Nonsubstantive Change
0930-0394 988 Cooperative Agreements Monitoring SSA_ 12.15.23.docx	Supporting Statement A
0930-0394 988 Cooperative Agreements Monitoring SSA_ 12.15.23.docx	Supporting Statement A
988 Lifeline Administrator	Form and Instruction
988 Lifeline Administrator	Form and Instruction
988 Lifeline Administrator	Form and Instruction
988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction
988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction
988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction
988 Crisis Center Follow Up Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
State and Territory Cooperative Agreements	Form and Instruction
Tribal Cooperative Agreements	Form and Instruction
Tribal Cooperative Agreements	Form and Instruction
Tribal Cooperative Agreements	Form and Instruction
Tribal Cooperative Agreements	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202509-0930-003	No material or nonsubstantive change to a currently approved collection	2025-09-12
202312-0930-001	Revision of a currently approved collection	2023-12-15	Approved without change
202305-0930-001	New collection (Request for a new OMB Control Number)	2023-05-11	Approved with change

OMB Details

Tribal Cooperative Agreements

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form Tribal Govt: Monthly Meeting Agenda	Tribal Govt: Monthly Meeting Agenda	Fillable Fileable	Form and instruction
Form Tribal Gov't: Semi-Annual Progress Report	Tribal Gov't: Semi-Annual Progress Report	Fillable Fileable	Form and instruction
Form Tribal Govt: Quality Improvement Plan	Tribal Govt: Quality Improvement Plan	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.