Information Collection

Grants to States for Access and Visitation

IC 10033 under ICR 201507-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 1 Grants to States for Access and Visitation	Form and Instruction
1 AV Survey Portal Instruction Manual Attachment C_AV Survey Portal Instruction Manual for 2015 PRA.docx	Form and Instruction
1 Proposed Revised Survey for 2015 Attachment B_Proposed Revised Survey for 2015 PRA.xls	Form and Instruction

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	AV Survey Portal Instruction Manual	Attachment C_AV Survey Portal Instruction Manual for 2015 PRA.docx		Yes	Yes	Fillable Printable
Form and Instruction	1	Proposed Revised Survey for 2015	Attachment B_Proposed Revised Survey for 2015 PRA.xls		Yes	Yes	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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	864	864
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.