Information Collection

Family Violence Prevention and Services (FVPSA) 2019 Tribal Grantee Meeting

IC 237266 under ICR 201801-0970-013 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
EVALUATION FORM_8.7.19.docx Other-null
Fast Track Generic - Submission Form Template_8.7.19.docx Family Violence Prevention and Services (FVPSA) 2019 Tribal Grantee Meeting IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Family Violence Prevention and Services (FVPSA) 2019 Tribal Grantee Meeting	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-null			EVALUATION FORM_8.7.19.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 253	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	253	253
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Family Violence Prevention and Services (FVPSA) 2019 Tribal Grantee Meeting	Fast Track Generic - Submission Form Template_8.7.19.docx	08/07/2019

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