Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
988 Crisis Center Follow Up Cooperative Agreements New 20 40 0 Form and Instruction Crisis Center Data Reporting Elements Crisis Center Data Reporting Elements
Form and Instruction Crisis Center Monthly Agenda Template Crisis Center Monthly Agenda Template
988 Lifeline Administrator New 24 186 0 Form and Instruction Lifeline Key Metrics (Monthly) Lifeline Key Metrics (Monthly)
Form and Instruction Lifeline Monthly Progress Reports Lifeline Monthly Progress Reports
State and Territory Cooperative Agreements New 1728 2268 0 Form and Instruction State/Territory: Monthly Key Metrics State/Territory: Monthly Key Metrics
Form and Instruction State/Territory: Quarterly Report State/Territory: Quarterly Report
Form and Instruction State/Territory: Programmatic QI Plan State/Territory: Programmatic QI Plan
Form and Instruction State/Territory: Monthly Meeting Call Agenda State/Territory: Monthly Meeting Call Agenda
Form and Instruction State/Territory: Chat and Text Report State/Territory: Chat and Text Report
Form and Instruction State/Territory: Communications Plan State/Territory: Communications Plan
Form and Instruction State/Territory: Sustainability Plan State/Territory: Sustainability Plan
Form and Instruction State/Territory: Mobile Crisis and 988-911 reports State/Territory: Mobile Crisis and 988-911 reports
Tribal Cooperative Agreements New 375 450 0 Form and Instruction Tribal Govt: Semi Annual Progress Report Tribal Govt: Semi Annual Progress Report
Form and Instruction Tribal Govt: Monthly Meeting Agenda Tribal Govt: Monthly Meeting Agenda
Form and Instruction Tribal Govt: Quality Improvement Plan Tribal Govt: Quality Improvement Plan
Total burden requested under this ICR: 2147 2944 0  
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