Information Collection

Family Violence Prevention and Services Act (FVPSA) Formula Grants Applications Due Date Change Survey

IC 256903 under ICR 202403-0970-001 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FVPSA Formula Grants Application Submission Deadline Change Impact Survey_11.15.22.docx	Other-Survey
FVPSA Formula Grants Application Submission Deadline Change Impact Survey_11.15.22.docx	Other-Survey
FVPSA Formula Grants Due Date Change Survey Fast Track Form_11.15.22.docx FastTrack Submission Form - FVPSA Formula Grants Applications Due Date Change Survey	IC Document
FVPSA Formula Grants Due Date Change Survey Fast Track Form_11.15.22.docx FastTrack Submission Form - FVPSA Formula Grants Applications Due Date Change Survey	IC Document

IC Title:

Family Violence Prevention and Services Act (FVPSA) Formula Grants Applications Due Date Change 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-Survey			FVPSA Formula Grants Application Submission Deadline Change Impact Survey_11.15.22.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 284

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	284	284
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FastTrack Submission Form - FVPSA Formula Grants Applications Due Date Change Survey	FVPSA Formula Grants Due Date Change Survey Fast Track Form_11.15.22.docx	11/15/2022

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