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Information Collection

Child Access and Visitation Grant Application Form

IC 221499 under ICR 202205-0970-012 · OMB 0970-0482.

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Document Type
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Information Collection (IC) Details

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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 AV Program Application - Application Form - with header and directions-5.16.22 clean.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

54 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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

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