Information Collection

VA Adaptive Sports Grant Program

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0820 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.