Information Collection

Family Violence Prevention and Services: Grants to the National Domestic Violence Hotline

IC 267422 under ICR 202603-0970-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 FVPSA PPR - National Domestic Violence Hotline Family Violence Prevention and Services: Grants to the National Domestic Violence Hotline	Form and Instruction
1 FVPSA PPR - National Domestic Violence Hotline FVPSA PPR for the National Domestic Violence Hotline Final 2024_tracked 01.12.2026_clean.docx	Form and Instruction
FVPSA 2023 OMB Clearance - FVPSA Hotline PPR GenIC 0970-0490_fnl.docx PPR GenIC - Family Violence Prevention and Services: Grants to the National Domestic Violence Hotline	IC Document
OFVPS National DV Hotline PPR GenICs_Change Request 01.12.2026_clean.docx NonSub Change - OFVPS National DV Hotline PPR	IC Document

IC Title:

Family Violence Prevention and Services: Grants to the National Domestic Violence Hotline

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: 2

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PPR GenIC - Family Violence Prevention and Services: Grants to the National Domestic Violence Hotline		06/07/2024
NonSub Change - OFVPS National DV Hotline PPR		01/13/2026

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

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