988 Cooperative Agreements Monitoring Program

ICR 202305-0930-001

OMB: 0930-0394

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0930-0394 can be found here:

2023-12-15 - Revision of a currently approved collection

Forms and Documents

Document Name	Status
Form Lifeline Key Metri 988 Lifeline Administrator Form and Instruction	New
Form Lifeline Key Metri 988 Lifeline Administrator Form and Instruction	New
Form Crisis Center Data 988 Crisis Center Follow Up Cooperative Agreements Form and Instruction	New
Form Crisis Center Data 988 Crisis Center Follow Up Cooperative Agreements Form and Instruction	New
Form State/Territory: M State and Territory Cooperative Agreements Form and Instruction	New
Form State/Territory: M State and Territory Cooperative Agreements Form and Instruction	New
Form Tribal Govt: Semi Tribal Cooperative Agreements Form and Instruction	New
Form Tribal Govt: Semi Tribal Cooperative Agreements Form and Instruction	New
0930-NEW_988 Cooperative Agreements Monitoring SSA_ final 5-26-2023.docx Supporting Statement A	2023-05-26
0930-NEW_988 Cooperative Agreements Monitoring SSA_ final 5-8-2023.docx Supporting Statement A	2023-05-10

IC Document Collections

IC ID	Document Title	Status
260138	988 Lifeline Administrator Form and Instruction	New
260138	988 Lifeline Administrator Form and Instruction	New
260137	988 Crisis Center Follow Up Cooperative Agreements Form and Instruction	New
260137	988 Crisis Center Follow Up Cooperative Agreements Form and Instruction	New
260136	State and Territory Cooperative Agreements Form and Instruction	New
260136	State and Territory Cooperative Agreements Form and Instruction	New
260135	Tribal Cooperative Agreements Form and Instruction	New
260135	Tribal Cooperative Agreements Form and Instruction	New

ICR Details

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