Client Characteristics and Enrollment Form

Trafficking Victim Assistance Program Data

OMB: 0970-0467

IC ID: 237959

Information Collection (IC) Details

View Information Collection (IC)

Client Characteristics and Enrollment 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 Client Characteristics and Enrollment Form 0970-0467 - TVAP Client Characteristics and Enrollment Form_Clean.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

 

1,100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 1,100 0 0 0 0 1,100
Annual IC Time Burden (Hours) 1,100 0 0 0 0 1,100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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