Information Collection Request

Optimizing Virtual Care Grant Program Performance Measures

ICR 202308-0906-002 · OMB 0906-0075 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3 OSV Acknowledgement Form Form and Instruction New Repair queued
Form 2 OVC Grant Biannual Measures Report Form and Instruction Unchanged Repair queued
Form 1 Monthly Progress Report Form and Instruction Unchanged Repair queued
Operational Site Visit 0915-0075 NSC_Final_EM.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-08-25 Repair queued
HRSA OVC Non-Substantive Change Memo_7.12.23.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-07-19 Repair queued
BPHC OVC Supporting Statement_Resubmission.docx Supporting Statement A Uploaded 2023-02-07 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261869 OSV Acknowledgement Form Form and Instruction New
256719 OVC Grant Biannual Measures Report Form and Instruction Unchanged
256718 Monthly Progress Report Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
04/30/2026 04/30/2026
956 406
3,966 3,938
0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Monthly Progress Report 1 Monthly Progress Report
OSV Acknowledgement Form 3 OSV Acknowledgement Form
OVC Grant Biannual Measures Report 2A, 2 Biannual Measures Report ,   OVC Biannual Measures Report Template v7.0.

table that charts list of burden
  Total Request 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 956 406 0 550 0 0
Annual Time Burden (Hours) 3,966 3,938 0 28 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No