Information Collection

Homeless Providers Grant and Per Diem Program

IC 28735 under ICR 200612-2900-011 · OMB 2900-0554.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0554 can be found here:

Documents and Forms

Document Name Document Type
2900-0554 83C NEW 2006 PDO Instructions for grants gov (8).doc www.grants.gov Instruction
10-0361-LSC Homeless Providers Grant and Per Diem Program Life Safet 2900-0554 VA Form 10-0361-LSC.pdf www1.va.gov/homeless/page.cfm?pg=3 Form and Instruction
10-0361-TA Homeless Providers Grant and Per Diem Program Technical 2900-0554 VA Form 10-0361-TA.pdf www1.va.gov/homeless/page.cfm?pg=3 Form and Instruction
10-0361-CG Homeless Providers Grant and Per Diem Program Captial Gr 2900-0554 VA Form 10-0361-CG.pdf www1.va.gov/homeless/page.cfm?pg=3 Form and Instruction
10-0361-SN Homeless Providers Grant and Per Diem Program Special Ne 2900-0554 VA Form 10-0361-SN.pdf www1.va.gov/homeless/page.cfm?pg=3 Form and Instruction
10-0361-PDO Homeless Providers Grant and Per Diem Program Per Diem O 2900-0554 VA Form 10-0361-PDO.pdf www1.va.gov/homeless/page.cfm?pg=3 Form and Instruction
10-0361-PDO Homeless Provider Grant and Per Diem Program - Per Diem 2900-0554 83C NEW 2006 PDO Second Submission Application.doc www.grants.gov Form
10361 Homeless Providers Grant and Per Diem Program 2900-0554 83C NEW 2006 PDO Second Submission Instructions.doc www.grants.gov Form
2900-0554 83C Clarification of changes.doc Clarification of changes IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Homeless Providers Grant and Per Diem Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 61.0-61.82

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2900-0554 83C NEW 2006 PDO Instructions for grants gov (8).doc	http://www.grants.gov	Yes	Yes	Fillable Fileable
Form and Instruction	10-0361-LSC	Homeless Providers Grant and Per Diem Program Life Safety Code Application	2900-0554 VA Form 10-0361-LSC.pdf	http://www1.va.gov/homeless/page.cfm?pg=3	Yes	No	Fillable Printable
Form and Instruction	10-0361-TA	Homeless Providers Grant and Per Diem Program Technical Assistance Application	2900-0554 VA Form 10-0361-TA.pdf	http://www1.va.gov/homeless/page.cfm?pg=3	Yes	No	Fillable Printable
Form and Instruction	10-0361-CG	Homeless Providers Grant and Per Diem Program Captial Grant Application	2900-0554 VA Form 10-0361-CG.pdf	http://www1.va.gov/homeless/page.cfm?pg=3	Yes	No	Fillable Printable
Form and Instruction	10-0361-SN	Homeless Providers Grant and Per Diem Program Special Needs Application	2900-0554 VA Form 10-0361-SN.pdf	http://www1.va.gov/homeless/page.cfm?pg=3	Yes	No	Fillable Printable
Form and Instruction	10-0361-PDO	Homeless Providers Grant and Per Diem Program Per Diem Only Application	2900-0554 VA Form 10-0361-PDO.pdf	http://www1.va.gov/homeless/page.cfm?pg=3	Yes	No	Fillable Printable
Form	10-0361-PDO	Homeless Provider Grant and Per Diem Program - Per Diem Only Application	2900-0554 83C NEW 2006 PDO Second Submission Application.doc	http://www.grants.gov	Yes	Yes	Fillable Printable
Form	10361	Homeless Providers Grant and Per Diem Program	2900-0554 83C NEW 2006 PDO Second Submission Instructions.doc	http://www.grants.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 985	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	985	-30	1,015
Annual IC Time Burden (Hours)	12,840	-1,500	14,340
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Clarification of changes	2900-0554 83C Clarification of changes.doc	12/21/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.