988 Lifeline Administrator

988 Cooperative Agreements Monitoring Program

OMB: 0930-0394

IC ID: 260138

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

988 Lifeline Administrator
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Lifeline Key Metrics (Monthly) Lifeline Key Metrics (Monthly) 988 Lifeline Instrument 1 _ Monthly & Ad Hoc Lifeline Key Metrics 4.5.23.docx Yes Yes Fillable Fileable
Form and Instruction Lifeline Monthly Progress Reports Lifeline Monthly Progress Reports 988 Lifeline Instrument 2 _ Monthly Progress Reports 4.5.23.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

2 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 24 0 0 0 0 24
Annual IC Time Burden (Hours) 186 0 0 0 0 186
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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