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

Document Name Document Type
Form 1122-0022 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Progress Report for the Sexual Assault Services Formula Grant Program	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1122-0022	Progress Reporting form for SASP subgrantees	SASPSubgranteeFormGMSSample2016.pdf	www.muskie.usm.maine.edu	Yes	Yes	Fillable Fileable Signable
Form	1122-0022	Progress Reporting for SASP Administrators	SASPAdminFormGMSSample.pdf	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 %

	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

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.