OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Supportive Services for Veteran Families Program

IC 194740 under ICR 202107-2900-001 · OMB 2900-0757.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-worksheet
Other-worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Form and Instruction
Form and Instruction
Form
Form
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Supportive Services for Veteran Families Program 2900-0757
 
No Modified
 
Voluntary
 
38 CFR Part 62  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction VA Form 10-10072 Supportive Services for Veterans Families Program Application SSVF Application_VA Form 10-10072_updated Nov 2021.docx Yes No Fillable Printable
Other-worksheet SSVF_NOFO Budget Template_2021.xlsx Yes No Fillable Fileable
Form VA Form 10-10072a SSVF Program Participant Satisfaction Survey SSVF Program_Participant Satisfaction Survey_10-10072a_updated Nov 2021.docx Yes No Fillable Printable
Form and Instruction VA Form 10-10072b SSVF Quarterly Grantee Performance Report SSVF_Quarterly Grantee Performance Report_10-10072b_updated Nov 2021.docx Yes No Fillable Printable
Other-Worksheet SSVF_FY21 Financial Report Template_2021.xlsm Yes No Fillable Printable
Form and Instruction VA Form 10-10072c Renewal Application for Supportive Services Grant SSVF_Renewal Application for Grant_10-10072c_updated Nov 2021.docx http://vaww.va.gov/vaforms/medical/pdf/vha-10-10072C-fill.pdf Yes No Fillable Printable
Other-Worksheet SSVF_Grantee Certification Template_2021.docx Yes No Fillable Printable

Health Health Care Services

 

12,270 0
   
Individuals or Households
 
   0 %

  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 24,480 0 0 0 24,480 0
Annual IC Time Burden (Hours) 25,505 0 0 0 25,505 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.