State and Territory Cooperative Agreements

988 Cooperative Agreements Monitoring Program

OMB: 0930-0394

IC ID: 260136

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

View Information Collection (IC)

State and Territory Cooperative Agreements
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction State/Territory: Monthly Key Metrics Yes Yes Fillable Fileable
Form and Instruction State/Territory: Chat and Text Report Yes Yes Fillable Fileable
Form and Instruction State/Territory: Communications Plan Yes Yes Fillable Fileable
Form and Instruction State/Territory: Mobile Crisis and 988-911 reports Yes Yes Fillable Fileable
Form and Instruction State/Territory: Cohort 2 Monthly Meeting Agenda Yes Yes Fillable Fileable
Form and Instruction State/Territory: Cohort 2 Quarterly Report Yes Yes Fillable Fileable
Form and Instruction State/Territory: Cohort 2 Required Data Yes Yes Fillable Fileable
Form and Instruction State/Territory QI Plan Yes Yes Fillable Fileable
Form and Instruction State/Territory: Cohort 1 Quarterly Report Yes Yes Fillable Fileable
Form and Instruction State/Territory: Monthly Call Agenda Yes Yes Fillable Fileable
Form and Instruction State/Territory: Sustainability Plan Yes Yes Fillable Fileable

Health Public Health Monitoring

Privacy Act of 1974 (Title 5 United States Code [U.S.C.] 552a)  75 FR 28264

594 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 2,592 0 0 0 0 2,592
Annual IC Time Burden (Hours) 3,348 0 0 0 0 3,348
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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