Information Collection

SSG Fox SPGP - Annual Grantee Performance Report

IC 253133 under ICR 202601-2900-003 · OMB 2900-0904.

Documents and Forms

Document Name Document Type
Form 10-316a SSG Fox SPGP - Annual Grantee Performance Report SSG Fox SPGP - Annual Grantee Performance Report Form
10-316a SSG Fox SPGP - Annual Grantee Performance Report VA Form 10-316a.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSG Fox SPGP - Annual Grantee Performance Report	Agency IC Tracking Number:	2900-0904

Is this a Common Form? No		IC Status: Removed

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	10-316a	SSG Fox SPGP - Annual Grantee Performance Report	VA Form 10-316a.pdf		Yes	Yes	Fillable Fileable

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: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-90	90
Annual IC Time Burden (Hours)	-68	68
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.

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