Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Barriers to Service Delivery and Monitoring Modified 47 8 0 Instruction
Form 3 Barriers to Service Delivery and Monitoring Form
Form and Instruction 3b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Case Closure Modified 300 50 0 Form 2 Client Case Closure Form
Instruction
Form and Instruction 2b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Characteristics and Program Entry Modified 300 225 0 Instruction
Form 1 FY25 DVHT Performance Indicators
Form and Instruction 1b Reporting Workbook - For use if unable to report in ATIMS
Client Outreach Modified 47 14 0 Form 5 Client Outreach Form
Instruction
Form and Instruction 5b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Service Costs Modified 12 9 0 Form 7 Client Service Costs
Instruction
Form and Instruction 7b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Client Service Use and Delivery Modified 300 75 0 Form 4 FY25 DVHT Performance Indicators
Instruction
Form and Instruction 4b Reporting Workbook - For use if unable to report in ATIMS
Subrecipient Enrollment Modified 35 6 0 Form 6 Subrecipient Enrollment
Instruction
Form and Instruction 6b DVHT Reporting Workbook - For Use Only If Recipient Unable to Report in ATIMS
Total burden requested under this ICR: 1041 387 0  
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