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Evaluation Of Hew Programs: Services To Victims Of Domestic Violence (a) State Survey (b) Community Survey
EVALUATION OF HEW PROGRAMS: SERVICES TO VICTIMS OF DOMESTIC VIOLENCE (A) STATE SURVEY (B) COMMUNITY SURVEY
OMB: 0990-0043
IC ID: 167023
OMB.report
HHS/HHSDM
OMB 0990-0043
ICR 198009-0990-003
IC 167023
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
EVALUATION OF HEW PROGRAMS: SERVICES TO VICTIMS OF DOMESTIC VIOLENCE (A) STATE SURVEY (B) COMMUNITY SURVEY
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
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
OS-24-79
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,641
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
2,641
0
0
0
0
2,641
Annual IC Time Burden (Hours)
3,331
0
0
0
0
3,331
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.