Application - Quarterly Performance Report

Application, Reports, and Recordkeeping for the Social Impact Partnerships to Pay for Results Act (SIPPRA) Grant Program

Documents and Forms

Document Name Document Type
1505-0260 SIPPRA Supporting Statement NOFA#2 - 8.25.23.docx www.grants.gov Other-Notice Of Funding Availability
1505-0260 SIPPRA NOFA 2_2023.10.27.docx www.grants.gov Other-Notice Of Funding Availability

Information Collection (IC) Details

IC Title:	Application - Quarterly Performance Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Notice Of Funding Availability			1505-0260 SIPPRA NOFA 2_2023.10.27.docx	www.grants.gov	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: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	6,100,000	6,100,000

Documents for IC

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.