Information Collection

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

IC 237266 under ICR 202007-0970-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

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
Other-			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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
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.