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 CT IDI Screener Yes Yes Fillable Fileable
Form and Instruction CT Survey AQ Yes Yes Fillable Fileable
Form and Instruction CT IDI Check-in Yes Yes Fillable Fileable
Form and Instruction CT IDI Discussion Guide Yes Yes Fillable Fileable
Form and Instruction CT Survey Screener Yes Yes Fillable Fileable

Health Public Health Monitoring

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

995 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 995 0 995 0 0 0
Annual IC Time Burden (Hours) 370 0 370 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Creative Addendum 12/03/2024
CT IDI Consent Form 12/03/2024
CT Survey Assent Form 12/03/2024
CT Survey Parent Consent 12/03/2024
Template Request 12/03/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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