Organizational Staff/Crisis System Administrator

SAMHSA 988 Suicide & Crisis Lifeline and Crisis Services Program Evaluation

Documents and Forms

Document Name Document Type
Form System Implementat Organizational Staff/Crisis System Administrator Form and Instruction
System Implementat System Implementation Survey 988_Att B. System Implementation Survey_SIS_03202025_Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Organizational Staff/Crisis System Administrator	Agency IC Tracking Number:

Is this a Common Form? No		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	System Implementation Survey	System Implementation Survey	988_Att B. System Implementation Survey_SIS_03202025_Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Organizational Staff/Crisis System Administrator	FR Citation: 74 FR 28264

Number of Respondents: 73	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	73	73
Annual IC Time Burden (Hours)	55	55
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.