Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
988 Suicide & Crisis Lifeline Customer Feedback New 995 370 0 Form and Instruction CT IDI Screener CT IDI Screener
Form and Instruction CT Survey AQ CT Survey AQ
Form and Instruction CT IDI Check-in CT IDI Check-In
Form and Instruction CT IDI Discussion Guide CT IDI Discussion Guide
Form and Instruction CT Survey Screener CT Survey Screener
988 Suicide & Crisis Lifeline Customer Feedback New 500 250 0 Form and Instruction 988 Suicide Crisis Lifeline Satisfaction Survey 988 Suicide Crisis Lifeline Satisfaction Survey
988 Suicide and Criss Lifeline Paid Ads Creative Testing New 657 261 0 Form and Instruction Creative Testing Survey Creative Testing Survey
Form and Instruction IDI Screener IDI Screener
Crisis Response Training and Technical Assistance Center (TTAC) - Interviews New 70 70 0 Form and Instruction Crisis TTAC Grantee Interview Protocol Crisis TTAC Grantee Interview Protocol
Form and Instruction Crisis TTAC Org Agency Leader Interview Protocol Crisis TTAC Org Agency Leader Interview Protocol
Crisis Response Training and Technical Assistance Center (TTAC) - Satisfaction Surveys New 14600 3650 0 Form and Instruction Crisis TTAC Post-Event Survey Crisis TTAC Post-Event Survey
Form and Instruction Crisis TTAC Products + Resources Survey Crisis TTAC Products + Resources Survey
Crisis Response Training and Technical Assistance Center (TTAC) - Satisfaction Surveys New 1 1 0 Form and Instruction Satisfaction Survey Satisfaction Survey
Form and Instruction Satisfaction Post Event Survey Satisfaction Post Event Survey
Crisis Response Training and Technical Assistance Center (TTAC) - TA Recipient Focus Group Protocol New 64 64 0 Form and Instruction Crises TTAC TA Recipient Focus Group Protocol Crises TTAC TA Recipient Focus Group Protocol
Disaster Technical Assistance Center (DTAC) Disaster Behavioral Health Customer Feedback Survey (CFS) New 200 60 0 Form and Instruction SAMHSA DTAC CFS _ Instrument SAMHSA DTAC CFS _ Instrument
Disaster Technical Assistance Center (DTAC) Disaster Behavioral Health Customer Feedback Survey (CFS) New 1 1 0 Form and Instruction Customer Feedback Survey Customer Feedback Survey
Division of Services Improvement Summer Summit Survey New 1720 172 0 Form and Instruction DSI Cross Grantee Meeting Pre-Survey DSI Cross Grantee Meeting Pre-Survey
Form and Instruction DSI Cross Grantee Meeting Post-Survey DSI Cross Grantee Meeting Post-Survey
Division of Targeted Prevention (DTP) New Grantee Orientation Satisfaction Survey New 364 62 0 Form and Instruction CSAP DTP Grantee Satisfaction Survey CSAP DTP Grantee Satisfaction Survey
Health Education Communications Campaign Testing (Phase 3) New 120 90 0 Form and Instruction Online Discussion Board Guide Online Discussion Board Guide
Form and Instruction Online Discussion Board Screener Online Discussion Board Screener
Message Testing: Efficacy of Concepts for Prevention Professionals Working with Transition-Age Youth Not Attending College New 20 10 0 Form and Instruction Transition Age Youth Mini Campaign Instrument Transition Age Youth Mini Campaign Instrument
Message Testing: Efficacy of Concepts for Primary Care Professionals' Screening for Substance Use Among Youth and Young Adults New 20 10 0 Form and Instruction OMB Base Year MC Screening Survey Instrument OMB Base Year MC Screening Survey Instrument
National Training and Technical Assistance Center for Early Serious Mental Illness New 375 46 0 Form and Instruction Individualized TA Request Form Individualized Technical Assistance (TA) Request Form
Form and Instruction Individualized TA Satisfaction Form Individualized Technical Assistance (TA) Satisfaction Form
Form and Instruction TTA Individual Session Feedback Form TTA Individual Session Feedback Form
Form and Instruction Overall Series Feedback Form Overall Series Feedback Form
Office of Assistant Secretary (OAS) Post-Meeting Evaluation New 4400 1100 0 Form and Instruction Customer Feedback Survey Customer Feedback Survey
Office of Assistant Secretary (OAS) Post-Webinar Evaluation New 3825 956 0 Form and Instruction Webinar Survey Webinar Survey
Partnerships for Success FY 2024 In-Person Grantee Meeting for States and Communities New 150 38 0 Form and Instruction PFS Meeting Feedback Prompts PFS Meeting Feedback Prompts
Form and Instruction PFS Meeting Feedback Prompts-Discussion PFS Meeting Feedback Prompts-Discussion
Program Evaluation, Effectiveness and Review Services (PEERS) Listening Sessions New 168 210 0 Form and Instruction PEERS Listening Session Questions PEERS Listening Session Questions
Qualitative Message Testing of Revised SAMHSA Tips for Teens Fact Sheets New 42 21 0 Form and Instruction Survey Questions and Narrative Survey Questions and Narrative
SAMHSA Continuing Medical Education Activities Data Collection New 45000 3600 0 Form and Instruction Registration Form Registration Form
Form and Instruction Post Course Evaluation Form Post Course Evaluation Form
Form and Instruction Follow-Up Evaluation Follow-Up Evaluation
SAMHSA Data Webpages Customer Satisfaction Survey New 7357 221 0 Form and Instruction Data Webpages Customer Satisfaction Survey Data Webpages Customer Satisfaction Survey
SAMHSA Program to Advance Recovery Knowledge Training and Technical Assistance Request Form New 130 13 0 Form and Instruction SPARK TTA Request Form SPARK TTA Request Form
Form and Instruction SPARK TTA Request Form (Microsoft Image Preview) SPARK TTA Request Form (Microsoft Image Preview)
SAMHSA Program to Advance Recovery Knowledge Training and Technical Assistance Request Form (Updated) New 1 1 0 Form and Instruction SPARK TA Request Form SPARK TA Request Form
SAMHSA Publication and Digital Products Website Registration Revision New 1 1 0 Form and Instruction SAMHSA Main Site Survey SAMHSA Main Site Survey
Form and Instruction SAMHSA Store Survey SAMHSA Store Survey
SAMHSA Walk for Recovery New 350 53 0 Form and Instruction SAMHSA Walk for Recovery form SAMHSA Walk for Recovery form
SAMHSA's General Registration Form New 140000 14000 0 Form and Instruction Event Registration Form Event Registration Form
SAMHSA's Publications and Digital Products Website Registration Survey New 22000 6280 0 Form and Instruction SAMHSA Main Site Survey SAMHSA Main Site Survey
Form and Instruction SAMHSA Store Survey SAMHSA Store Survey
State Program Improvement Technical Assistance Event Satisfaction New 1034 153 0 Form and Instruction TA Onsite_Offsite_initial and follow up feedback TA Onsite_Offsite_initial and follow up feedback
Form and Instruction LC Individual Session Feedback Form LC Individual Session Feedback Form
Form and Instruction LC Overall Series Feedback Form LC Overall Series Feedback Form
Form and Instruction LC Customer Feedback Form LC Customer Feedback Form
Survey of Satisfaction of SAMHSA's Program to Advance Recovery Knowledge (SPARK) Training and Technical Assistance (TTA) Events New 657 66 0 Form and Instruction Satisfaction Survey of SAMHSA's SPARK TTA Events Satisfaction Survey of SAMHSA's SPARK TTA Events
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 244822 31830 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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