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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
988 Suicide and Criss Lifeline Paid Ads Creative Testing
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Creative Testing Survey
Creative Testing Survey
988 Creative Testing Survey.docx
Yes
Yes
Fillable Fileable
Form and Instruction
IDI Screener
IDI Screener
988 FG-IDI Screener.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)
FR Citation:
75 FR 28264
Number of Respondents:
657
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
657
0
657
0
0
0
Annual IC Time Burden (Hours)
261
0
261
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Focus Group Assent
988 FG Assent Form - Minor__FINAL.docx
07/02/2025
Focus Group Consent
988 FG Consent Form - Adult__FINAL.docx
07/02/2025
Focus Group Consent-Parent
988 FG Consent Form - Parent__FINAL.docx
07/02/2025
Creative Addendum
988 Creative Addendum FINAL.docx
07/02/2025
Focus Group Discussion Guide
988 FG Discussion Guide__FINAL.docx
07/02/2025
IDI Consent
988 IDI Consent Form - Adult__FINAL.docx
07/02/2025
IDI Discussion Guide
988 IDI Discussion Guide__FINAL.docx
07/02/2025
Survey Consent
988 Survey ADULT CONSENT FORM__FINAL.docx
07/02/2025
Survey Assent
988 Survey ASSENT FORM__FINAL.docx
07/02/2025
Survey Consent-Parent
988 Survey PARENT CONSENT__FINAL.docx
07/02/2025
Request Template
Request OMB_PRA Fast Track App_.docx
07/02/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.