Homeless Providers Grant and Per Diem Program

OMB: 2900-0554

IC ID: 28735

⚠️ Notice: This information collection may be referencing outdated material.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
Form 10-0361-LSC Homeless Providers Grant and Per Diem Program Form and Instruction
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 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
10-0361-PDO Homeless Providers Grant and PerDiem Program Per Diem On Form 10-0361 PDO Section A instructions.pdf www1.va.gov/homeless/page.cfm?pg=3 Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Homeless Providers Grant and Per Diem Program	Agency IC Tracking Number:	2900-0554

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
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	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
Form and Instruction	10-0361-PDO	Homeless Providers Grant and PerDiem Program Per Diem Only Application	Form 10-0361 PDO Section A instructions.pdf	http://www1.va.gov/homeless/page.cfm?pg=3	Yes	No	Fillable Printable
Instruction			2900-0554 83C NEW 2006 PDO Instructions for grants gov (8).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: 1,015	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,015	30	985
Annual IC Time Burden (Hours)	14,340	1,500	12,840
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.