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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 10-0361-TA 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
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

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-TA	Homeless Providers Grant and Per Diem Program Technical Assistance Application	VA Form 10-0361-TA 3-2013.pdf	http://www.va.gov/HOMELESS/index.asp	Yes	No	Fillable Printable
Form and Instruction	10-0361-CG	Homeless Providers Grant and Per Diem Program Captial Grant Application	VA Form 10-0361-CG-3-2013.pdf	http://www.va.gov/HOMELESS/index.asp	Yes	No	Fillable Printable
Form	10-0361-PDO	Homeless Provider Grant and Per Diem Program - Per Diem Only Application	2900-0554 83C 2006 PDO Second Submission Application.pdf	http://www.grants.gov	Yes	Yes	Fillable Printable
Instruction			2900-0554 83C NEW 2006 PDO Second Submission Instructions.doc	http://www.grants.gov/	Yes	No	Printable Only
Instruction			VA Form 10-0361 PDO Section A Instr. 3-2013 (2).pdf	http://www.grants.gov/	Yes	No	Printable Only
Form and Instruction	10-0361-SN	Homeless Providers Grant and Per Diem Program Special Needs Application	VA Form 10-0361-SN 3-2013.pdf	http://www.va.gov/HOMELESS/index.asp	Yes	No	Fillable Printable
Instruction			2900-0554 83C NEW 2006 PDO Instructions for grants gov (8).doc	http://www.grants.gov	Yes	Yes	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 %

	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

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.