Information Collection

Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan

IC 221348 under ICR 201603-0970-013 · OMB 0970-0476.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0476 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Form and Instruction
1 FVPSP DICP FVPSP DICP for OMB 21 MAR 2016.docx Form and Instruction
FVPSP Disaster Information Collection Form 21 MAR 2016.doc Justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	FVPSP DICP	FVPSP DICP for OMB 21 MAR 2016.docx		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: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	FVPSP Disaster Information Collection Form 21 MAR 2016.doc	05/03/2016

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