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Grants to States for Access and Visitation
Grants to States for Access and Visitation
OMB: 0970-0204
IC ID: 10033
OMB.report
HHS/ACF
OMB 0970-0204
ICR 201204-0970-004
IC 10033
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0204 can be found here:
2024-08-05 - No material or nonsubstantive change to a currently approved collection
2024-03-27 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Grants to States for Access and Visitation
Form
1 2013-2015 State Spreadsheet
FY 2013-2015 State Spread Sheet FINAL April 11 2012.xls
Form
Attachment A Revised AVSurvey March 11 2012 (16) FINAL.docx
Access and Visitation Survey Instructions
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Grants to States for Access and Visitation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
45 CFR 303
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
2013-2015 State Spreadsheet
FY 2013-2015 State Spread Sheet FINAL April 11 2012.xls
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
54
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
60 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
54
0
0
0
0
54
Annual IC Time Burden (Hours)
864
0
54
0
0
810
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Access and Visitation Survey Instructions
Attachment A Revised AVSurvey March 11 2012 (16) FINAL.docx
04/23/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.