Information Collection

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

IC 235569 under ICR 201904-0970-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Family Violence Prevention Services Program (FVPSP) Disa FVPSP Disaster Info Collection Instrument.docx	Form and Instruction
FVPSP Disaster Info Collection Submission Form.doc Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Submission Form	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan	FVPSP Disaster Info Collection Instrument.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: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Submission Form	FVPSP Disaster Info Collection Submission Form.doc	04/02/2019

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