Information Collection

Office of Family Violence Prevention and Services Outcome Measurement Listening Session

IC 270017 under ICR 202412-0970-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
OFVPS Outcomes and Measurements Listening Session Draft Interview Guide_08092024.docx	Other-Interview Guide
OFVPS Outcomes and Measurements Listening Session SSA Template 080924.docx SSA - Office of Family Violence Prevention and Services Outcome Measurement Listening Session	IC Document

IC Title:

Office of Family Violence Prevention and Services Outcome Measurement Listening Session

Agency IC Tracking Number:

OFVPS

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-Interview Guide			OFVPS Outcomes and Measurements Listening Session Draft Interview Guide_08092024.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: 30

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA - Office of Family Violence Prevention and Services Outcome Measurement Listening Session	OFVPS Outcomes and Measurements Listening Session SSA Template 080924.docx	08/09/2024

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