Information Collection

Progress Report for the Sexual Assault Services Formula Grant Program

IC 191154 under ICR 202502-1122-005 · OMB 1122-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1122-0022 Progress Reporting form for SASP subgrantees Progress Report for the Sexual Assault Services Formula Grant Program	Form
Form 1122-0022 Progress Reporting for SASP Administrators Progress Report for the Sexual Assault Services Formula Grant Program	Form
1122-0022 Progress Reporting form for SASP subgrantees SASPSubgranteeFormGMSSample2016.pdf www.muskie.usm.maine.edu	Form
1122-0022 Progress Reporting for SASP Administrators SASPAdminFormGMSSample.pdf ww.gms.gov	Form

IC Title:

Agency IC Tracking Number:

1122-0022

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	1122-0022			www.muskie.usm.maine.edu	Yes	Yes	Fillable Fileable Signable
Form	1122-0022			ww.gms.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 606

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	606	606
Annual IC Time Burden (Hours)	606	606
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.

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