Access and Visitation Survey - States and Jurisdictions

Grants to States for Access and Visitation

Documents and Forms

Document Name Document Type
Form 1 - Through Sept 3 Access and Visitation Survey - States and Jurisdictions Form
Form 1 - Through Sept 3 Access and Visitation Survey - States and Jurisdictions Form
Access and Visitation Instruction Manual_12.22.23.docx Instruction
Access and Visitation Instruction Manual_12.22.23.docx Instruction
Access and Visitation Instruction Manual_8.5.2024 - For use beginning 10.1.24.docx Instruction
Access and Visitation Instruction Manual_8.5.2024 - For use beginning 10.1.24.docx Instruction
1 - Through Sept 3 AV Survey - FOR USE UNTIL Oct 2024 Grantee or Subgrantee Collection Instrument 12.20.2023.xls Form
1 - Through Sept 3 AV Survey - FOR USE UNTIL Oct 2024 Grantee or Subgrantee Collection Instrument 12.20.2023.xls Form
1 - Oct 2024 AV Survey - FOR USE BEGINNING Oct 2024 State Summary File_08.02.2024 - For use beginning 10.1.24.xlsx Form
1 - Oct 2024 AV Survey - FOR USE BEGINNING Oct 2024 State Summary File_08.02.2024 - For use beginning 10.1.24.xlsx Form

Information Collection (IC) Details

IC Title:	Access and Visitation Survey - States and Jurisdictions	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1 - Through Sept 30, 2024	AV Survey - FOR USE UNTIL Oct 2024	Grantee or Subgrantee Collection Instrument 12.20.2023.xls	Yes	Yes	Fillable Printable
Instruction			Access and Visitation Instruction Manual_12.22.23.docx	Yes	Yes	Printable Only
Form	1 - Oct 2024	AV Survey - FOR USE BEGINNING Oct 2024	State Summary File_08.02.2024 - For use beginning 10.1.24.xlsx	Yes	Yes	Fillable Fileable
Instruction			Access and Visitation Instruction Manual_8.5.2024 - For use beginning 10.1.24.docx	Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	53	53
Annual IC Time Burden (Hours)	848	848
Annual IC Cost Burden (Dollars)	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.