Family Violence Prevention Service Program Disaster Information Collection Form

Generic Disaster Information Collection Forms

OMB: 0970-0476

IC ID: 253535

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Document Name
Document Type
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Form
Form
IC Document
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Information Collection (IC) Details

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Family Violence Prevention Service Program Disaster Information Collection Form
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Family Violence Prevention Service Program Disaster Information Collection Form FVPSP Disaster Info Collection Instrument_clean_02222022.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

10 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  Requested 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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC - Family Violence Prevention Service Program Disaster Information Collection Form FVPSP Disaster Info Collection Submission Form.docx 05/16/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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