Information Collection

Semi-Annual Progress Report for the Tribal Sexual Assault Services Program

IC 194369 under ICR 201701-1122-003 · OMB 1122-0024.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0024 can be found here:

Documents and Forms

Document Name Document Type
Form 1122-0024 Semi-Annual Progress Report for the Tribal Sexual Assault Services Program Form
1122-0024 Semi-Annual Progress Report for the Tribal Sexual Assaul SASPTribalFormGMSSample.pdf muskie.usm.maine.edu/vawamei/sasptribalform.htm Form
SASPstatute.doc Statute IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Semi-Annual Progress Report for the Tribal Sexual Assault Services Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	1122-0024	Semi-Annual Progress Report for the Tribal Sexual Assault Services Program	SASPTribalFormGMSSample.pdf	http://muskie.usm.maine.edu/vawamei/sasptribalform.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Statute	SASPstatute.doc	08/23/2010

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