Information Collection Request

Implementation of the Violence Against Women Reauthorization Act of 2013

ICR 202211-2577-002 · OMB 2577-0286 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form 5383 Emergency Transfer Request for Certain Victims of Sexual Assault or Stalking Form Modified Available
Form Form 5382 Certification of Domestic Violence Dating Violence Sexual Assault or Stalking and Alternative Documentation Form Modified Available
Form Form 5381 Model Emergency Transfer Plan for Victims of Domestic Violence Dating Violence Sexual Assault or Stalking Form Modified Available
Form Form 5380 Notice of Occupancy Rights Under the VAWA Form Modified Available
Form Form 5380 Implementation of the Violaence Against Women Reathorization Act 2013 Form Modified Repair queued
Supporting Statement_2577-0286.docx Supporting Statement A Uploaded 2024-08-15 Available
Supporting Statement_2577-0286.docx Supporting Statement A Uploaded 2024-08-15 Repair queued
2577-0286 30 day.pdf Supplementary Document Uploaded 2024-08-15 Available
2577-0286 30 day.pdf Supplementary Document Uploaded 2024-08-15 Repair queued
VAWA PRA Emergency Letter 12.7.16.doc Supplementary Document Uploaded 2016-12-09 Available
VAWA PRA Emergency Letter 12.7.16.doc Supplementary Document Uploaded 2016-12-09 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedEmergency Transfer Request for Certain Victims of Sexual Assault or Stalking
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedCertification of Domestic Violence Dating Violence Sexual Assault or Stalking and Alternative Documentation
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedModel Emergency Transfer Plan for Victims of Domestic Violence Dating Violence Sexual Assault or Stalking
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form ModifiedNotice of Occupancy Rights Under the VAWA
224769 Implementation of the Violaence Against Women Reathorization Act 2013 Form Modified

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved
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0 0 0
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IC Title Form No. Form Name
Implementation of the Violaence Against Women Reathorization Act 2013 Form 5380 , Form 5381 , Form 5382, Form 5383 ,   ,   ,  



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