Information Collection

SSG Fox SPGP - Quarterly Grantee Financial Report

IC 253141 under ICR 202203-2900-009 · OMB 2900-0904.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0904 can be found here:

Documents and Forms

Document Name Document Type
Form 10-316f SSG Fox SPGP - Quarterly Grantee Financial Report Form and Instruction
10-316f SSG Fox SPGP - Quarterly Grantee Financial Report VA Form 10-316f_Quarterly Grantee Financial Report_SPGP.xlsx Form and Instruction
10-316f SSG Fox SPGP - Quarterly Grantee Financial Report VA Form 10-316f_Quarterly Grantee Financial Report_SPGP.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSG Fox SPGP - Quarterly Grantee Financial Report	Agency IC Tracking Number:	2900-NEW

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-316f	SSG Fox SPGP - Quarterly Grantee Financial Report	VA Form 10-316f_Quarterly Grantee Financial Report_SPGP.xlsx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care 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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	90	90
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.