Information Collection

Quarterly Grantee Performance Report

IC 253979 under ICR 202206-2900-001 · OMB 2900-0905.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0905 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-319a Quarterly Grantee Performance Report	Form and Instruction
10-319a Quarterly Grantee Performance Report VA Form 10-319a_Quarterly Grantee Performance Report_June 2022.pdf	Form and Instruction
10-319a Quarterly Grantee Performance Report VA Form 10-319a_Quarterly Grantee Performance Report_June 2022.pdf	Form and Instruction
10-319a Quarterly Grantee Performance Report VA Form 10-319a_LSV Quarterly Grantee Performance Report_updated July 2022.pdf	Form and Instruction

IC Title:

Quarterly Grantee Performance Report

Agency IC Tracking Number:

2900-NEW

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-319a	Quarterly Grantee Performance Report	VA Form 10-319a_Quarterly Grantee Performance Report_June 2022.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	10-319a	Quarterly Grantee Performance Report	VA Form 10-319a_LSV Quarterly Grantee Performance Report_updated July 2022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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