View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0930-0394
ICR Reference No:
202305-0930-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/SAMHSA
Agency Tracking No:
Title:
988 Cooperative Agreements Monitoring Program
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
05/26/2023
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/26/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/11/2023
Terms of Clearance:
In accordance with 5 CFR 1320.13, this information collection is approved for 6 months as a one-time emergency clearance. To continue using this collection after 6 months, the Agency must resubmit an ICR to OMB under the normal PRA clearance process.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2023
6 Months From Approved
Responses
2,147
0
0
Time Burden (Hours)
2,944
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The collection of this information is critical to successfully oversee operational response and quality of service through the 988 Suicide and Crisis Lifeline to ensure connections to care for individuals in suicidal crisis or emotional distress contacting in for 988 phone, chat and text support for connecting local, state/territory and national outcomes and monitoring contractual obligations for current and future 988 grant programs. Much of this information is already embedded in the current 988 Suicide and Crisis Lifeline network administrator grants, the 988 state and territory grant program, or the 988 Tribal Response grant program.
Emergency Justfication:
This Emergency ICR is the result of collaboration between SAMHSA and the OIRA Desk officer to obtain approval for instruments related to the 988 Suicide and Crisis Lifeline Notice of Funding Opportunities (NOFOs). The information contained in the instruments was released in the NOFO as required information to be collected from grantees. The Emergency ICR will allow the SAMHSA 988 Program to collect data from grantees while pursuing a permanent ICR approved by OMB for this information collection.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
988 Crisis Center Follow Up Cooperative Agreements
Crisis Center Data Reporting Elements, Crisis Center Monthly Agenda Template
Crisis Center Data Reporting Elements
,
Crisis Center Monthly Agenda Template
988 Lifeline Administrator
Lifeline Key Metrics (Monthly), Lifeline Monthly Progress Reports
Lifeline Key Metrics (Monthly)
,
Lifeline Monthly Progress Reports
State and Territory Cooperative Agreements
State/Territory: Monthly Key Metrics, State/Territory: Quarterly Report , State/Territory: Programmatic QI Plan , State/Territory: Monthly Meeting Call Agenda, State/Territory: Chat and Text Report , State/Territory: Communications Plan , State/Territory: Sustainability Plan , State/Territory: Mobile Crisis and 988-911 reports
State/Territory: Monthly Key Metrics
,
State/Territory: Quarterly Report
,
State/Territory: Programmatic QI Plan
,
State/Territory: Monthly Meeting Call Agenda
,
State/Territory: Chat and Text Report
,
State/Territory: Communications Plan
,
State/Territory: Sustainability Plan
,
State/Territory: Mobile Crisis and 988-911 reports
Tribal Cooperative Agreements
Tribal Govt: Semi Annual Progress Report, Tribal Govt: Monthly Meeting Agenda, Tribal Govt: Quality Improvement Plan
Tribal Govt: Semi Annual Progress Report
,
Tribal Govt: Monthly Meeting Agenda
,
Tribal Govt: Quality Improvement Plan
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
2,147
0
0
2,147
0
0
Annual Time Burden (Hours)
2,944
0
0
2,944
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a new information collection.
Annual Cost to Federal Government:
$96,421
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Carlos Graham 204 276-0361 carlos.graham@samhsa.hhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
05/11/2023
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