Information Collection

Application and reporting Requirements to Receive Grants Under 38 CFR 17.703, RIN 2900-AO01

IC 205997 under ICR 201209-2900-005 · OMB 2900-0790.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10-10056 Application and reporting Requirements to Receive Grants Under 38 CFR 17.703, RIN 2900-AO01	Form and Instruction
VA Form 10-10055 Grants for Transportation of Veterans in Highly Rural Ar 10-10055_Initial Application and Renewal Appl --VA accepts OMB edits 2.21.13[1].docx To Be Determined	Form and Instruction
VA Form 10-10056 Quarterly/Annual Grantee Performance Report 10-10056 Quarterly Semi Annual and Final CLEAN_2.21.13[1].docx To Be Determined	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA Form 10-10056	Quarterly/Annual Grantee Performance Report	10-10056 Quarterly Semi Annual and Final CLEAN_2.21.13[1].docx	To Be Determined	Yes	Yes	Fillable Fileable
Form and Instruction	VA Form 10-10055	Grants for Transportation of Veterans in Highly Rural Areas	10-10055_Initial Application and Renewal Appl --VA accepts OMB edits 2.21.13[1].docx	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 667

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,267	1,267
Annual IC Time Burden (Hours)	2,517	2,517
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.