Implementation of the Violaence Against Women Reathorization Act 2013

Implementation of the Violence Against Women Reauthorization Act of 2013

OMB: 2577-0286

IC ID: 224769

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Information Collection (IC) Details

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Implementation of the Violaence Against Women Reathorization Act 2013
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form 5380 Notice of Occupancy Rights Under the VAWA VAWA Form 5380 Notice of Occupancy Rights Under the VAWA 10-20-22.docx Yes Yes Fillable Printable
Form Form 5381 Model Emergency Transfer Plan for Victims of Domestic Violence Dating Violence Sexual Assault or Stalking VAWA Form 5381 Model Emergency Transfer Plan for Victims of Domestic Violence Dating Violence Sexual Assault or Stalking 10-20-22.docx Yes Yes Fillable Printable
Form Form 5382 Certification of Domestic Violence Dating Violence Sexual Assault or Stalking and Alternative Documentation VAWA Form 5382 Certification of Domestic Violence Dating Violence Sexual Assault or Stalking and Alternative Documentation 10-20-22.docx Yes Yes Fillable Printable
Form Form 5383 Emergency Transfer Request for Certain Victims of Sexual Assault or Stalking VAWA Form 5383 Emergency Transfer Request for Certain Victims of Sexual Assault or Stalking 10-20-22.docx Yes Yes Fillable Printable

Community and Social Services Community and Regional Development

 

293,176 0
   
State, Local, and Tribal Governments
 
   3 %

  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 5,044,764 0 -14,732,526 0 19,777,290 0
Annual IC Time Burden (Hours) 223,048,055 0 219,425,685 0 3,622,370 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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