Information Collection

Quarterly Grantee Performance Report - LSV-A Grant

IC 271334 under ICR 202409-2900-017 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.