View Information Collection (IC)

View Information Collection (IC)

IC Title:	Using Concept Mapping to Develop a Theory to Describe the Work of the National Domestic Violence Hotline- – Formative Data Collection	Agency IC Tracking Number:

IC Status: Unchanged

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-Concept Mapping			OMB Online Concept Mapping Directions (2017.08.28).docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	225	0	0	0	0	225
Annual IC Time Burden (Hours)	105	0	0	0	0	105
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SAF-T Supporting Statement A	OMB_Part A - SAF-T project (2017.09.01).doc	09/12/2017
SAF-T Supporting Statement B	OMB_Part B - SAF-T project (2017.08.28).doc	09/12/2017
SAF-T Supplementary Materials	OMB_Appendices - SAF-T project (2017.08.28).doc	09/12/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.