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Information Collection

Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey

IC 261091 under ICR 202307-0970-010 · OMB 0970-0531.

Documents and Forms
Document Name
Document Type
Other-survey
Other-survey
IC Document
IC Document
Information Collection (IC) Details

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Formative Data Collections for American Rescue Plan (ARP) Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey OFVPS
 
Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey FVPSA ARP Act CSSIRCs ANTRC and NIRC Survey Questions_FINAL CLEAN.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

145 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 145 0 0 0 0 145
Annual IC Time Burden (Hours) 145 0 0 0 0 145
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA - Formative Data Collections for ARP Act Culturally Specific Domestic Violence and Sexual Assault Supplemental Funding Survey FVPSA Formative for ACF Program Support - ARP Culturally Specific DV_SA Supp Survey.docx 07/14/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.