Information Collection Request

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

ICR 201905-1505-001 · OMB 1505-0260 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1505-0260 SIPPRA Supporting Statement - 2019-08-15.docx Supporting Statement A Uploaded 2019-08-20 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2022 36 Months From Approved 08/31/2019
120 0 120
2,190 0 2,190
9,145,000 0 9,145,000





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table that charts list of burden
IC Title Form No. Form Name
SIPPRA Grant Application, Recordkeeping and Reports SIPPRA Outcome Valuation Workbook (word), SIPPRA Outcome Valuation Workbook (Excel) SIPPRA Outcome Valuation Workbook (word) ,   SIPPRA Outcome Valuation Workbook (Excel)

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 120 120 0 0 0 0
Annual Time Burden (Hours) 2,190 2,190 0 0 0 0
Annual Cost Burden (Dollars) 9,145,000 9,145,000 0 0 0 0


Reginfo record details
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