Information Collection

Victim Outreach

IC 237963 under ICR 202502-0970-022 · OMB 0970-0467.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0467 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5 Victim Outreach	Form
Form 5 Victim Outreach Victim Outreach	Form
FY25 TVAP Reporting Reference Guide_CleanWithChanges.docx	Instruction
FY25 TVAP Reporting Reference Guide_CleanWithChanges.docx	Instruction
5 Victim Outreach FY25 TVAP Performance Indicators_CleanWithChanges.docx	Form
5 Victim Outreach FY25 TVAP Performance Indicators_CleanWithChanges.docx	Form

IC Title:

Victim Outreach

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	5				Yes	Yes	Fillable Fileable
Instruction					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: 386

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
	Approved	Previously Approved
Annual Number of Responses for this IC	515	515
Annual IC Time Burden (Hours)	154	154
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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