Semi-Annual Performance Report for the Financial Assistance to Victims of Domestic Violence, Dating Violence, Sexual Assault, and Stalking Program

Semi-Annual Performance Report for the Financial Assistance to Victims of Domestic Violence, Dating Violence, Sexual Assault, and Stalking Program (FAV Program)

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Semi-Annual Performance Report for the Financial Assistance to Victims of Domestic Violence, Dating Violence, Sexual Assault, and Stalking Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	New			https://www.vawamei.org/tools-resource/financial-assistance-for-victims-performance-report/	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: 16	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	32	32
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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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