Information Collection

Grants to States for Access and Visitation

IC 10033 under ICR 200811-0970-002 · OMB 0970-0204.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0204 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Grants to States for Access and Visitation Form and Instruction
1 State Program Survey RevisedPartIStateProgramSurveyApril 24 2009.doc Form and Instruction
1 Print Copy of State AV Survey Spreadsheet April24Print Copy of State AV Survey Spreadsheet.xls Form
1 Child Access Program Survey RevisedPartIStateProgramSurvey FINAL JULY 2008.doc Form and Instruction
RevisedAVSurveyCoverFebruary 29 2008.doc cover IC Document
PUBLIC COMMENTS TO FEDERAL REGISTER NOTICE.pdf PUBLIC COMMENTS TO FEDERAL REGISTER NOTICE IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Grants to States for Access and Visitation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 303

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Child Access Program Survey	RevisedPartIStateProgramSurvey FINAL JULY 2008.doc	Yes	Yes	Fillable Printable
Form and Instruction	1	State Program Survey	RevisedPartIStateProgramSurveyApril 24 2009.doc	Yes	Yes	Fillable Printable
Form	1	Print Copy of State AV Survey Spreadsheet	April24Print Copy of State AV Survey Spreadsheet.xls	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54	-270	324
Annual IC Time Burden (Hours)	810	-4,050	4,860
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
cover	RevisedAVSurveyCoverFebruary 29 2008.doc	08/14/2008
PUBLIC COMMENTS TO FEDERAL REGISTER NOTICE	PUBLIC COMMENTS TO FEDERAL REGISTER NOTICE.pdf	08/20/2008

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