Information Collection

Child Care Subsidy Application Form (VA Form 0730a)Child Care Provider Information-For the Child Care Subsidy Program (VA Form 0730b)

IC 186316 under ICR 201412-2900-003 · OMB 2900-0717.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0717 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0730a Child Care Subsidy Application Form (VA Form 0730a)Child Care Provider Information-For the Child Care Subsidy Program (VA Form 0730b)	Form and Instruction
0730a Child Care Subsidy Application Form VA0730a 2-13.pdf vaww.va.gov/vaforms/va/pdf/VA0730a.pdf	Form and Instruction
0730b Child Care Provider Information (For the Child Care Subs VA0730b.pdf vaww.va.gov/vaforms/va/pdf/VA0730b.pdf	Form and Instruction

IC Title:

Child Care Subsidy Application Form (VA Form 0730a)Child Care Provider Information-For the Child Care Subsidy Program (VA Form 0730b)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 792

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	0730a	Child Care Subsidy Application Form	VA0730a 2-13.pdf	http://vaww.va.gov/vaforms/va/pdf/VA0730a.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	0730b	Child Care Provider Information (For the Child Care Subsidy Program)	VA0730b.pdf	http://vaww.va.gov/vaforms/va/pdf/VA0730b.pdf	Yes	No	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

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	Previously Approved
Annual Number of Responses for this IC	4,000	0	4,000
Annual IC Time Burden (Hours)	833	-167	1,000
Annual IC Cost Burden (Dollars)	0	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.