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Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program
Semi-annual Progress Report for Enhanced Training and Services to End Violence Against Women Later in Life Program
OMB: 1122-0008
IC ID: 12646
OMB.report
DOJ/OVW
OMB 1122-0008
ICR 200902-1122-001
IC 12646
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0008 can be found here:
2021-12-14 - Revision of a currently approved collection
2018-10-04 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1122-0008
Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program
Form
1122-0008 Semi-annual Progress Report for Enhanced Training and Se
ELDER_PF_05-05-09.pdf
www.gms.gov
Form
Cheat sheet for Elder form revision_041309.doc
Summary of Changes to Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program
Agency IC Tracking Number:
1122-0008
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1122-0008
Semi-annual Progress Report for Enhanced Training and Services to End Violence Agianst Women Later in Life Program
ELDER_PF_05-05-09.pdf
www.gms.gov
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
18
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 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
36
0
0
0
0
36
Annual IC Time Burden (Hours)
36
0
0
0
0
36
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Summary of Changes to Form
Cheat sheet for Elder form revision_041309.doc
04/14/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.