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View ICR - OIRA Conclusion

OMB Control No: 2900-0904	ICR Reference No: 202601-2900-003
Status: Active	Previous ICR Reference No: 202210-2900-015
Agency/Subagency: VA	Agency Tracking No: VHA-2900-0904
Title: Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program (SSG Fox SPGP)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/15/2026
	Date Received in OIRA: 05/13/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2029	36 Months From Approved
Responses	54,525	0	0
Time Burden (Hours)	31,166	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	54,525	48,225	6,300
Annual Time Burden (Hours)	31,166	29,500	1,666
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are overall increases in the anticipated number of responses and burden hours based upon program data since the last PRA clearance, including an increase in applications. The program requires only one version of the performance report form (10-316b) to be submitted twice annually – at mid-year and end-of-year; the 10-316a form is no longer needed and has been removed from the collection. The program requires only one annual grantee financial report; therefore, VA Form 10-316f is no longer needed and has been removed from the collection. VA Form 10-317b has been split into two forms, with a new 10-317e form being added to the collection.

Annual Cost to Federal Government: $133,675

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Frances O'Donnell 703 405-2449 fran.odonnell@cathexiscorp.com

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