Child Access and Visitation Grant Application Form

State Access and Visitation Grant Application

OMB: 0970-0482

IC ID: 221499

Information Collection (IC) Details

View Information Collection (IC)

Child Access and Visitation Grant Application Form
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 AV Application Attachment A AV Program Application - Application Form - FINAL.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

54 0
   
State, Local, and Tribal Governments
 
   100 %

  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 54 0 0 0 0 54
Annual IC Time Burden (Hours) 540 0 0 0 0 540
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Access and Visitation Program Application Memo and Instructions AV Program Application Memo Instructions - final.docx 04/18/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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