Information Collection

VA Adaptive Sports Grant Program

IC 212079 under ICR 202211-2900-009 · OMB 2900-0820.

Documents and Forms

Document Name Document Type
VA Form 10096, ADAPTIVE SPORT GRANT APPLICATION.pdf VA-10096 Adaptive Sport Grant Application OMB 2900-0820 IC Document
VA Form 10096, ADAPTIVE SPORT GRANT APPLICATION.pdf VA-10096 Adaptive Sport Grant Application OMB 2900-0820 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VA Adaptive Sports Grant Program	Agency IC Tracking Number:	2900-0820

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR Part 77 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: Adaptive Sport Gran Application	FR Citation: 38 FR 77

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
VA-10096 Adaptive Sport Grant Application OMB 2900-0820	VA Form 10096, ADAPTIVE SPORT GRANT APPLICATION.pdf	01/11/2023

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