VA Form 10193 VEPFS Application

Veterans Employment Pay For Success (VEPFS), Grant Program Application

OMB: 2900-0847

IC ID: 222393

Information Collection (IC) Details

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VA Form 10193 VEPFS Application
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
38 CFR 21.390

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction VA Form 10193 Veterans Employment Pay for Success (VEPFS) Grant Application PRA APPLICATION VA Form 10193 VEPFS Application v2 20160801.docx http://www.grants.gov Yes Yes Fillable Fileable

Community and Social Services Social Services

Veteran, Patient, Employee and Volunteer Research and Development Project Records-VA (34VA12)  40 FR 38095

25 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25 0 0 0 0 25
Annual IC Time Burden (Hours) 2,000 0 0 0 0 2,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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