Monthly Progress Report

Optimizing Virtual Care Grant Program Performance Measures

Documents and Forms

Document Name Document Type
Form 1 Monthly Progress Report Form and Instruction
1 Monthly Progress Report OVC Grant Recipient MPR V4.0_12.8.22_OMB.xlsx Form and Instruction
1 Monthly Progress Report OVC Grant Recipient MPR V4.0_12.8.22_OMB.xlsx Form and Instruction

Information Collection (IC) Details

IC Title:	Monthly Progress Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 and Instruction	1	Monthly Progress Report	OVC Grant Recipient MPR V4.0_12.8.22_OMB.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 29	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	348	348
Annual IC Time Burden (Hours)	696	696
Annual IC Cost Burden (Dollars)	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.