Contact information form for parents of youth younger than 18 (C.3)

Responding to Intimate Violence in Relationship Programs (RIViR)

OMB: 0970-0503

IC ID: 224371

Documents and Forms
Document Name
Document Type
Other-Contact Form
Information Collection (IC) Details

View Information Collection (IC)

Contact information form for parents of youth younger than 18 (C.3)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Contact Form Att_C.3_Contact information form for parents of youth_3-27-17_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

300 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 300 0 0 0 0 300
Annual IC Time Burden (Hours) 30 0 0 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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