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38 CFR 77 Report Template
Adaptive Sport Grant Application
OMB: 2900-0845
IC ID: 215773
OMB.report
VA
OMB 2900-0845
ICR 201501-2900-009
IC 215773
( )
Documents and Forms
Document Name
Document Type
FY15 ASG Quarterly Report - Template.xlsx
Quarterly Reporting Measure
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
38 CFR 77 Report Template
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
38 CFR 77
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
Department of Veterans Affairs
FR Citation:
66 FR 63426
Number of Respondents:
150
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
1,050
0
1,050
0
0
0
Annual IC Time Burden (Hours)
2,100
0
2,100
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Quarterly Reporting Measure
FY15 ASG Quarterly Report - Template.xlsx
02/11/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
