Organizational Staff/Crisis Agency Staff

SAMHSA 988 Suicide & Crisis Lifeline and Crisis Services Program Evaluation

Documents and Forms

Document Name Document Type
Form Key Informant Inte Organizational Staff/Crisis Agency Staff Form and Instruction
Key Informant Inte Key Informant Interviews Case Study Protocol 988_Att D. Key Informant Interviews Case Study Protocol_KII-CSP_03202025_Clean.docx Form and Instruction
Key Informant Case Key Informant Case Study Protocol Cost Sub Study 988_Att E. Key Informant Interviews Case Study Protocol Cost Sub Study_KII-CSS_03202025_Clean.docx Form and Instruction
Client Contact Dis Client Contact Disposition Form (All Participants) 988_Att F. Client Contact Disposition Form (All Participants)_CCDF_03202025_Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Organizational Staff/Crisis Agency Staff	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Key Informant Interviews Case Study Protocol	Key Informant Interviews Case Study Protocol	988_Att D. Key Informant Interviews Case Study Protocol_KII-CSP_03202025_Clean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Key Informant Case Study Protocol Cost Sub Study	Key Informant Case Study Protocol Cost Sub Study	988_Att E. Key Informant Interviews Case Study Protocol Cost Sub Study_KII-CSS_03202025_Clean.docx	Yes	Yes	Fillable Fileable
Form and Instruction	Client Contact Disposition Form (All Participants)	Client Contact Disposition Form (All Participants)	988_Att F. Client Contact Disposition Form (All Participants)_CCDF_03202025_Clean.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

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

Number of Respondents: 6,048	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	18,144	18,144
Annual IC Time Burden (Hours)	9,979	9,979
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.