Information Collection

Family Violence Prevention and Services: Grants to support Culturally Specific Domestic Violence and Sexual Assault (CSDVSA) Programs

IC 270280 under ICR 202508-0970-004 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Family Violence Prevention and Services: Grants to support Culturally Specific Domestic Violence and Sexual Assault (CSDVSA) Programs	Form and Instruction
Form 1 CSDVSA PPR Family Violence Prevention and Services: Grants to support Culturally Specific Domestic Violence and Sexual Assault (CSDVSA) Programs	Form and Instruction
1 CSDVSA PPR CSDVSA_PPR (SOGI Removal) as of 25-01-30 (CLEAN).docx	Form and Instruction
1 CSDVSA PPR CSDVSA_PPR (SOGI Removal) as of 25-01-30 (CLEAN).docx	Form and Instruction
FVPSA 2024 OMB Clearance - FVPSA CSDVSA ACF Generic PPR 0970-0490_8.21.24.docx PPR GenIC - FVPS CSDVSA	IC Document
FVPSA 2024 OMB Clearance - FVPSA CSDVSA ACF Generic PPR 0970-0490_8.21.24.docx PPR GenIC - FVPS CSDVSA	IC Document

IC Title:

Family Violence Prevention and Services: Grants to support Culturally Specific Domestic Violence and Sexual Assault (CSDVSA) Programs

Agency IC Tracking Number:

OFVPS

IC Status: Unchanged

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 and Instruction	1				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: 35

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	70	70
Annual IC Time Burden (Hours)	700	700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PPR GenIC - FVPS CSDVSA		08/21/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].