Child Care Subsidy Application Form (VA Form 0730a)Child Care Provider Information-For the Child Care Subsidy Program (VA Form 0730b)

Child Care Subsidy Application Form, Child Care Provider Information-For the Child Care Subsidy Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0717 can be found here:

Documents and Forms

Document Name Document Type
Form 0730a Child Care Subsidy Application Form (VA Form 0730a)Child Care Provider Information-For the Child Care Subsidy Program (VA Form 0730b) Form and Instruction
0730a Child Care Subsidy Application Form VA0730a 2-13.pdf vaww.va.gov/vaforms/va/pdf/VA0730a.pdf Form and Instruction
0730b Child Care Provider Information (For the Child Care Subs VA0730b.pdf vaww.va.gov/vaforms/va/pdf/VA0730b.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Child Care Subsidy Application Form (VA Form 0730a)Child Care Provider Information-For the Child Care Subsidy Program (VA Form 0730b)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 792

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0730a	Child Care Subsidy Application Form	VA0730a 2-13.pdf	http://vaww.va.gov/vaforms/va/pdf/VA0730a.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	0730b	Child Care Provider Information (For the Child Care Subsidy Program)	VA0730b.pdf	http://vaww.va.gov/vaforms/va/pdf/VA0730b.pdf	Yes	No	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,000	0	4,000
Annual IC Time Burden (Hours)	833	-167	1,000
Annual IC Cost Burden (Dollars)	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.