Semi-Annual Performance Report for Sexual Assault Services Culturally Specific Program

Semi-Annual Progress Report for the SASP-Culturally Specific Grant Program

Documents and Forms

Document Name Document Type
Form 1122-0023 Semi-Annual Performance Report for Sexual Assault Services Culturally Specific Program Form
1122-0023 Semi-Annual Performance Report for Sexual Assault Services Culturally Specific Program SASP-CS-Form_Sample.pdf www.vawamei.org/tools-resource/sasp-culturally-specific-reporting-form/ Form

Information Collection (IC) Details

IC Title:	Semi-Annual Performance Report for Sexual Assault Services Culturally Specific Program	Agency IC Tracking Number:	1122-0023

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
Form	1122-0023	Semi-Annual Performance Report for Sexual Assault Services Culturally Specific Program	SASP-CS-Form_Sample.pdf	https://www.vawamei.org/tools-resource/sasp-culturally-specific-reporting-form/	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: 23	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	46	46
Annual IC Time Burden (Hours)	0	0
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.