Grants to States for Access and Visitation (Local Service Providers)

Grants to States for Access and Visitation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0204 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Grants to States for Access and Visitation (Local Service Providers) Form
attachment c--AV Instruction Manual updated 3.2018.doc Instruction
1 AV Survey attachment B AV--survey--revision --4.2018--PRA-Copy of Sample State Summary File_new.xls Form

Information Collection (IC) Details

IC Title:	Grants to States for Access and Visitation (Local Service Providers)	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	AV Survey	attachment B AV--survey--revision --4.2018--PRA-Copy of Sample State Summary File_new.xls		Yes	Yes	Fillable Printable
Instruction			attachment c--AV Instruction Manual updated 3.2018.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 296	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	296	-35	331
Annual IC Time Burden (Hours)	4,736	-560	5,296
Annual IC Cost Burden (Dollars)	0	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.