Information Collection

Homeless Providers Grant and Per Diem Program

IC 28735 under ICR 201212-2900-014 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 10-0361-TA Homeless Providers Grant and Per Diem Program Technical Assistance Application Homeless Providers Grant and Per Diem Program	Form and Instruction
Form 10-0361-CG Homeless Providers Grant and Per Diem Program Captial Grant Application Homeless Providers Grant and Per Diem Program	Form and Instruction
Form 10-0361-SN Homeless Providers Grant and Per Diem Program Special Needs Application Homeless Providers Grant and Per Diem Program	Form and Instruction
Form 10-0361-PDO Homeless Provider Grant and Per Diem Program - Per Diem Only Application Homeless Providers Grant and Per Diem Program	Form
2900-0554 83C NEW 2006 PDO Instructions for grants gov (8).doc www.grants.gov	Instruction
VA Form 10-0361 PDO Section A Instr. 3-2013 (2).pdf www.grants.gov/	Instruction
2900-0554 83C NEW 2006 PDO Second Submission Instructions.doc www.grants.gov/	Instruction
10-0361-TA Homeless Providers Grant and Per Diem Program Technical VA Form 10-0361-TA 3-2013.pdf www.va.gov/HOMELESS/index.asp	Form and Instruction
10-0361-CG Homeless Providers Grant and Per Diem Program Captial Gr VA Form 10-0361-CG-3-2013.pdf www.va.gov/HOMELESS/index.asp	Form and Instruction
10-0361-SN Homeless Providers Grant and Per Diem Program Special Ne VA Form 10-0361-SN 3-2013.pdf www.va.gov/HOMELESS/index.asp	Form and Instruction
10-0361-PDO Homeless Provider Grant and Per Diem Program - Per Diem 2900-0554 83C 2006 PDO Second Submission Application.pdf www.grants.gov	Form

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:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-0361-TA	http://www.va.gov/HOMELESS/index.asp	Yes	No	Fillable Printable
Form and Instruction	10-0361-CG	http://www.va.gov/HOMELESS/index.asp	Yes	No	Fillable Printable
Form and Instruction	10-0361-SN	http://www.va.gov/HOMELESS/index.asp	Yes	No	Fillable Printable
Instruction		http://www.grants.gov	Yes	Yes	Printable Only
Form	10-0361-PDO	http://www.grants.gov	Yes	Yes	Fillable Printable
Instruction		http://www.grants.gov/	Yes	No	Printable Only
Instruction		http://www.grants.gov/	Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 785

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	785	-230	1,015
Annual IC Time Burden (Hours)	10,717	-3,623	14,340
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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