Information Collection

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

IC 12646 under ICR 201206-1122-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 AbuseLaterFormGMSSample.pdf www.gms.gov	Form

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 Against Women Later in Life Program	AbuseLaterFormGMSSample.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
No associated records found

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