Information Collection

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

IC 221348 under ICR 201709-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

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 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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
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.