Information Collection

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

IC 279421 under ICR 202604-0970-006 · OMB 0970-0490.

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 Hotlines	Form
1 FVPSA PPR - National Domestic Violence Hotline FVPSA PPR for the National Domestic Violence Hotline Final_2026 NIDVH Clean.docx	Form
PPR GenIC Submission - FVPSA Hotline PPR_0970-0490_fnl_2026_Clean.docx PPR GenIC - FVPSA PPR - Family Violence Prevention and Services: Grants to the National Domestic Violence Hotlines	IC Document
NOA_NonSub OFVPS - Clearance Hotlines_PPR GenIC_0970-0490_1.13.26.pdf NOA - FVPSA PPR - National Domestic Violence Hotline	IC Document
Change Request_OFVPS Hotline PPR GenIC_April 2026.docx Change Req - Add Hotline - FVPSA: Grants to the National Domestic Violence Hotlines	IC Document

IC Title:

Agency IC Tracking Number:

OFVPS

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	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: 3

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6	2	4
Annual IC Time Burden (Hours)	60	20	40
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PPR GenIC - FVPSA PPR - Family Violence Prevention and Services: Grants to the National Domestic Violence Hotlines		04/20/2026
NOA - FVPSA PPR - National Domestic Violence Hotline		03/11/2026
Change Req - Add Hotline - FVPSA: Grants to the National Domestic Violence Hotlines		04/20/2026

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

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