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Federal forms, ICRs, and supporting documents

Information Collection

Access and Visitation Survey - Local Service Grantees

IC 187256 under ICR 202408-0970-002 · OMB 0970-0204.

Documents and Forms
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Information Collection (IC) Details

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Access and Visitation Survey - Local Service Grantees
 
No Modified
 
Mandatory
 
45 CFR 303

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 - Until Oct 2024 AV Survey - FOR USE UNTIL Oct 2024 Grantee or Subgrantee Collection Instrument 12.20.2023.xls Yes Yes Fillable Printable
Instruction Access and Visitation Instruction Manual_12.22.23.docx Yes Yes Fillable Printable
Form 1 - Oct 2024 AV Survey - FOR USE BEGINNING Oct 2024 State Summary File_08.02.2024 - For use beginning 10.1.24.xlsx Yes Yes Fillable Fileable
Instruction Access and Visitation Instruction Manual_8.5.2024 - For use beginning 10.1.24.docx Yes Yes Printable Only

Community and Social Services Social Services

 

264 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 264 0 0 0 0 264
Annual IC Time Burden (Hours) 4,224 0 0 0 0 4,224
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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