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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Implementation of the Violaence Against Women Reathorization Act 2013
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HUD xxxx
Notice of Occupantcy Rights under the Violence Against Women Act
VAWA Appendix A - Notice of Occupancy Rights.docx
No
Fillable Printable
Form
HUD xxxx
Model Emergency Transfer Plan for Victims of Domestic Violence, Dating Violence, Sexual Assault, or Stalking
VAWA Appendix B - Model Emergency Transfer Plan.docx
No
Fillable Printable
Form
HUD xxx
CERTIFICATION OF Domestic Violence , Dating Violence, Sexual Assault, or Staking, and Alternate Documentation
VAWA Appendix C - Certification of Domestic Violence Etc and Alternate Documentation.docx
No
Fillable Printable
Form
HUD xxxx
Emergency Transfer Request for Certain Victims of Domestiv Violence , Sexual Assault or Staklng
VAWA Appendix D - Emergency Transfer Request.docx
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,103,365
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
19,777,290
0
19,777,290
0
0
0
Annual IC Time Burden (Hours)
3,622,370
0
3,622,370
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.