Information Collection

Semi-Annual Progress Report for the Sexual Assault Services Program Grants to Culturally Specific Programs

IC 191155 under ICR 201905-1122-002 · OMB 1122-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1122-0023 can be found here:

Documents and Forms

Document Name Document Type
Form 1122-0023 Semi-Annual Progress Report for the Sexual Assault Services Program Grants to Culturally Specific Programs Form
1122-0023 Semiannual Progress Report for the SASP Culturally Speci SASPCulturalFormGMSSample.pdf www.gms.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Semi-Annual Progress Report for the Sexual Assault Services Program Â Grants to Culturally Specific Programs	Agency IC Tracking Number:	1122-0023

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	1122-0023	Semiannual Progress Report for the SASP Culturally Specific Grant Program	SASPCulturalFormGMSSample.pdf	www.gms.gov	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: 11	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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