Information Collection

Grants to States for Access and Visitation

IC 10033 under ICR 201806-0970-002 · OMB 0970-0204.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0204 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Grants to States for Access and Visitation Form
attachment c--AV Instruction Manual updated 3.2018.doc Instruction
1 AV Survey attachment B AV--survey--revision --4.2018--PRA-Copy of Sample State Summary File_new.xls Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Grants to States for Access and Visitation	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	AV Survey	attachment B AV--survey--revision --4.2018--PRA-Copy of Sample State Summary File_new.xls		Yes	Yes	Fillable Printable
Instruction			attachment c--AV Instruction Manual updated 3.2018.doc		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Previously Approved
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	864	864
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.