Information Collection

Supportive Services for Veteran Families Program

IC 194740 under ICR 201107-2900-012 · OMB 2900-0757.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0757 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 10-0508 Supportive Services for Veteran Families Program Form and Instruction
SSVF_Budget_Template.xls Other-worksheet
SSVF Quarterly Financial Report Template_(R)July 1 2011.xlsx Other-Worksheet
VA Form 10-0508 Supportive Services for Veterans Families Progrm Applica VA Form 10-0508.pdf Form and Instruction
VA Form 10-0508a SSVF Participant Satisfaction Survey SSVF Participant Satisfaction Survey 10-0508a_4.11.2011.pdf Form
VA Form 10-0508b Quarterly Grantee Performance Report Quarterly Grantee Performance Report VA Form 10-0508b_(R)July 1 2011.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supportive Services for Veteran Families Program	Agency IC Tracking Number:	2900-0757

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR Part 62 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA Form 10-0508	Supportive Services for Veterans Families Progrm Application	VA Form 10-0508.pdf	Yes	No	Fillable Printable
Other-worksheet			SSVF_Budget_Template.xls	Yes	No	Fillable Fileable
Form	VA Form 10-0508a	SSVF Participant Satisfaction Survey	SSVF Participant Satisfaction Survey 10-0508a_4.11.2011.pdf	Yes	No	Fillable Printable
Form and Instruction	VA Form 10-0508b	Quarterly Grantee Performance Report	Quarterly Grantee Performance Report VA Form 10-0508b_(R)July 1 2011.doc	Yes	No	Fillable Printable
Other-Worksheet			SSVF Quarterly Financial Report Template_(R)July 1 2011.xlsx	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	3,500	3,500
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.