Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan

Generic Disaster Information Collection Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0476 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Form and Instruction
1 Family Violence Prevention Services Program (FVPSP) Disa FVPSP Disaster Info Collection Instrument.docx Form and Instruction
FVPSP Disaster Info Collection Submission Form.doc Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Submission Form IC Document

Information Collection (IC) Details

IC Title:	Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan	FVPSP Disaster Info Collection Instrument.docx		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: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Family Violence Prevention Services Program (FVPSP) Disaster Information Collection Plan Submission Form	FVPSP Disaster Info Collection Submission Form.doc	04/02/2019

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