1.3: IPV Screener 3

Responding to Intimate Violence in Relationship Programs (RIViR)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0503 can be found here:

Documents and Forms

Document Name Document Type
Instr_1.3_IPV Screener 3_Oct 17 2016.docx Other-Screener

Information Collection (IC) Details

IC Title:	1.3: IPV Screener 3	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-Screener			Instr_1.3_IPV Screener 3_Oct 17 2016.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: 300	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	300	300
Annual IC Time Burden (Hours)	75	75
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.