Information Collection Request

Application, Reports, and Recordkeeping for the Social Impact Partnerships to Pay for Results Act (SIPPRA) grant Program

ICR 201901-1505-002 · OMB 1505-0260 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
SIPPRA Grant Program Emergency ICR Request.pdf Supplementary Document Uploaded 2019-01-30 Available
SIPPRA Supporting Statement with Design Eval Plan language and Privacy section2-12-19 v3.docx Supporting Statement A Uploaded 2019-02-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234777 SIPPRA Grant Application, Recordkeeping and Reports Other-Notice of Funding Availability New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2019 6 Months From Approved
120 0 0
2,190 0 0
9,145,000 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
SIPPRA Grant Application, Recordkeeping and Reports

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 120 0 120 0 0 0
Annual Time Burden (Hours) 2,190 0 2,190 0 0 0
Annual Cost Burden (Dollars) 9,145,000 0 9,145,000 0 0 0


Reginfo record details
  No