Quarterly Grantee Performance Report - LSV-A Grant

Legal Services for Veterans – Legal Assistance for Access to VA Programs (LSV-A) Grant Program (AS17-P)

Documents and Forms

Document Name Document Type
Form 10-367b Quarterly Grantee Performance Report - LSV-A Grant Form and Instruction
10-367b Quarterly Grantee Performance Report - LSV-A Grant VA Form 10-367b_Quarterly Performance Report_LSV-A_rev Sep 2024.pdf Form and Instruction
10-367b Quarterly Grantee Performance Report - LSV-A Grant VA Form 10-367b_Quarterly Performance Report_LSV-A_rev Sep 2024.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Quarterly Grantee Performance Report - LSV-A Grant	Agency IC Tracking Number:	VHA-2900-NEW

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 81

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-367b	Quarterly Grantee Performance Report - LSV-A Grant	VA Form 10-367b_Quarterly Performance Report_LSV-A_rev Sep 2024.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85	Number of Respondents for Small Entity: 85

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	340	340
Annual IC Time Burden (Hours)	340	340
Annual IC Cost Burden (Dollars)	0	0

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.