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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Supportive Services for Veteran Families Program
Agency IC Tracking Number:
2900-0757
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
38 CFR Part 62 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VA Form 10-0508
Supportive Services for Veterans Families Progrm Application
VA Form 10-0508.pdf
Yes
No
Fillable Printable
Other-worksheet
SSVF_Application_Applicant Budget Template_9_2011.xls
Yes
No
Fillable Fileable
Form
VA Form 10-0508a
SSVF Participant Satisfaction Survey
SSVF Participant Satisfaction Survey 10-0508a_4.11.2011.pdf
Yes
No
Fillable Printable
Form and Instruction
VA Form 10-0508b
Quarterly Grantee Performance Report
Quarterly Grantee Performance Report VA Form 10-0508b_(R)July 1 2011.doc
Yes
No
Fillable Printable
Other-Worksheet
SSVF Quarterly Financial Report Template_(R)July 1 2011.xlsx
Yes
No
Fillable Printable
Form and Instruction
VA Form 10-0508c
Renewal Application for Supportive Services Grant
SSVF Renewal Application_10-0508c.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100
0
0
0
0
100
Annual IC Time Burden (Hours)
3,500
0
0
0
0
3,500
Annual IC Cost Burden (Dollars)
0
0
0
0
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.