Information Collection

Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions

IC 12649 under ICR 200804-1122-007 · OMB 1122-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1122-0011 Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions	Form
1122-0011 Semi-Annual Progress Report for Grants to Support Tribal tribalcoalitions final no TC 4.25.doc muskie.usm.maine.edu/vawamei/forms.htm	Form
tribalcoalitions final with TC 4.25.doc Copy of Form with Changes Tracked	IC Document

IC Title:

Semi-annual Progress Report for the Grants to Support Tribal Domestic Violence and Sexual Assault Coalitions

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-0011	Semi-Annual Progress Report for Grants to Support Tribal Domestic Violence and Sexual Assautl Coalitions	tribalcoalitions final no TC 4.25.doc	http://muskie.usm.maine.edu/vawamei/forms.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Copy of Form with Changes Tracked	tribalcoalitions final with TC 4.25.doc	04/28/2008

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