Information Collection

Florida Domestic Violence State Coalition Community Stakeholder Feedback (Virtual Town Halls and Online Survey)

IC 248467 under ICR 202206-0970-010 · OMB 0970-0531.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0531 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Florida Domestic Violence State Coalition Community Stakeholder Feedback Questions Final Version.docx	Other-Discussion and Survey Question
Generics Supporting Statement A - FVPSA Florida Coalition Community Feedback - Final Version.docx SSA - Formative Program Support GenIC - FVPSA FL Coalition Feedback	IC Document

IC Title:

Florida Domestic Violence State Coalition Community Stakeholder Feedback (Virtual Town Halls and Online Survey)

Agency IC Tracking Number:

FYSB

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-Discussion and Survey Questions			Florida Domestic Violence State Coalition Community Stakeholder Feedback Questions Final Version.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Formative Program Support GenIC - FVPSA FL Coalition Feedback	Generics Supporting Statement A - FVPSA Florida Coalition Community Feedback - Final Version.docx	07/20/2021

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