Information Collection

Application and Evaluation for VA Homeless Providers Grant and Per Diem Program

IC 148409 under ICR 199508-2900-017 · OMB 2900-0554.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0554 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application and Evaluation for VA Homeless Providers Grant and Per Diem Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	10-0362	No	No
Form	10-0365	No	No
Form	10-0361	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,235	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,235	4,235	0
Annual IC Time Burden (Hours)	63,654	654	63,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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