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SSG Fox SPGP - Annual Grantee Performance Report
Staff Sergeant Parker Gordon Fox - Suicide Prevention Grant Program (SSG Fox SPGP)
OMB: 2900-0904
IC ID: 253133
OMB.report
VA
OMB 2900-0904
ICR 202210-2900-015
IC 253133
( )
Documents and Forms
Document Name
Document Type
Form 10-316a
SSG Fox SPGP - Annual Grantee Performance Report
Form
10-316a SSG Fox SPGP - Annual Grantee Performance Report
VA Form 10-316a.pdf
Form
10-316a SSG Fox SPGP - Annual Grantee Performance Report
VA Form 10-316a.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SSG Fox SPGP - Annual Grantee Performance Report
Agency IC Tracking Number:
2900-0904
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
10-316a
SSG Fox SPGP - Annual Grantee Performance Report
VA Form 10-316a.pdf
Yes
Yes
Fillable Fileable
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:
90
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
90
0
0
0
0
90
Annual IC Time Burden (Hours)
68
0
0
0
0
68
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.
