Information Collection Request

Accomplishments of the Domestic Violence Hotline, Online Connections and Text (ADVHOCaT) Study

ICR 201704-0970-002 · OMB 0970-0468 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Attachment E -Follow-up Survey Script - FINAL_3-24-17.docx Supplementary Document Uploaded 2017-04-21 Available
Attachment C - Informed Consent - FINAL_3-24-17.docx Supplementary Document Uploaded 2017-04-21 Repair queued
Attachment B - ADVHOCAT Recruitment Script - FINAL_3-24-17.docx Supplementary Document Uploaded 2017-04-21 Available
Attachment A - ADVHOCaT Research Questions and Data Sources v3 - FINAL_3-24-17.docx Supplementary Document Uploaded 2017-04-21 Available
ADVHOCaT_SS_B - FINAL_3-24-17.doc Supporting Statement B Uploaded 2017-04-21 Available
ADVHOCaT_SS_A - FINAL_3-24-17.doc Supporting Statement A Uploaded 2017-04-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
226498 The Hotline/LIR Follow-up Survey Other-Survey New
226497 The Hotline/LIR Exit Survey Other-Exit Survey New
218232 NDVH/LIR Preference of Use Survey Other-Survey Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2019 24 Months From Approved 12/31/2016
2,200 0 5,000
275 0 205
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
The Hotline/LIR Follow-up Survey
NDVH/LIR Preference of Use Survey
The Hotline/LIR Exit Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,200 5,000 0 -2,800 0 0
Annual Time Burden (Hours) 275 205 0 70 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No