View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

988 Suicide & Crisis Lifeline Customer Feedback
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 988 Suicide Crisis Lifeline Satisfaction Survey 988 Suicide Crisis Lifeline Satisfaction Survey 988 Suicide Crisis Lifeline Satisfaction Survey_Revised (2024-04-23).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)   75 FR 28264

500 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 500 0 500 0 0 0
Annual IC Time Burden (Hours) 250 0 250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
988 Crisis Suicide Lifeline Customer Feedback Request Template 0930-0393 Fast Track Generic _ Submission_Concept Satisfaction Revised.docx 04/15/2024
988 Awareness Campaign Creative Addendum 988 Suicide Crisis Lifeline Satisfaction Survey Creative Addendum_Revised.docx 04/15/2024
Participant Assent Form 988 Suicide Crisis Lifeline Satisfaction Survey Assent Form_Revised.docx 04/15/2024
Parent/Guardian Opt-Out Form 988 Suicide Crisis Lifeline Satisfaction Survey Guardian Opt-Out Form_Revised.docx 04/15/2024
Participant Consent Form 988 Suicide & Crisis Lifeline Satisfaction Survey Consent Form_Revised.docx 04/15/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.