Information Collection

SSG Fox SPGP - Other Grantee Financial Report

IC 253141 under ICR 202601-2900-003 · OMB 2900-0904.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-316f SSG Fox SPGP - Quarterly Grantee Financial Report SSG Fox SPGP - Other Grantee Financial Report	Form and Instruction
10-316f SSG Fox SPGP - Quarterly Grantee Financial Report VA Form 10-316f_Quarterly Grantee Financial Report_SPGP.xlsx	Form and Instruction

IC Title:

Agency IC Tracking Number:

2900-0904

Is this a Common Form? No

IC Status: Removed

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 and Instruction	10-316f				Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-180	180
Annual IC Time Burden (Hours)	-90	90
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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