Information Collection

Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program

IC 12646 under ICR 200902-1122-001 · OMB 1122-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1122-0008 Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program	Form
1122-0008 Semi-annual Progress Report for Enhanced Training and Se ELDER_PF_05-05-09.pdf www.gms.gov	Form
Cheat sheet for Elder form revision_041309.doc Summary of Changes to Form	IC Document

IC Title:

Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program

Agency IC Tracking Number:

1122-0008

Is this a Common Form? No

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	1122-0008	Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program	ELDER_PF_05-05-09.pdf	www.gms.gov	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: 18

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	36	36
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Summary of Changes to Form	Cheat sheet for Elder form revision_041309.doc	04/14/2009

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