Forms and Regulatons for Grants to States for Construction and Acquisition of State Home Facilities

Forms for Grants to States for Construction and Acquisition of State Home Facilities

OMB: 2900-0661

IC ID: 28939

Information Collection (IC) Details

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Forms and Regulatons for Grants to States for Construction and Acquisition of State Home Facilities 2900-0661
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Support List for State Home Construction Grant Forms (VA Forms 10-0388-XX) 2900-0661 Forms_Support_List[1].docx No   Printable Only
Form and Instruction 10-0388-1 Documents and Information Required for State Home Construction and Acquisition Grants - Initial Application Form 10-0388-2_20140418.pdf Yes No Fillable Printable
Form 10-0388-2 Certification of Compliance with Provisions of the Davis-Bacon Act Form 10-0388-2_20140424.pdf Yes No Fillable Printable
Form 10-0388-3 State Home Construction Grant Program Space Program Analysis - Nursing Home & Domiciliary Form 10-0388-3_20140424.pdf Yes No Fillable Printable
Form 10-0388-4 Sate Home Construction Grant Program Space Program Analysis - Adult Day Care Form 10-0388-4_20140424.pdf Yes No Fillable Printable
Form 10-0388-5 Additionall Documents and Information Required for State Home Construction and Acquisition Grants Application Form 10-0388-5_20140418.pdf Yes No Fillable Printable
Form 10-0388-6 Certification of State Matching Funds To Qualify for Group 1 on the Priority List Form 10-0388-6_20140418.pdf Yes No Fillable Printable
Form and Instruction 10-0388-7 Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions Form 10-0388-7_20140418.pdf Yes No Fillable Printable
Form 10-0388-8 Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals Form 10-0388-8_20140418.pdf Yes No Fillable Printable
Form 10-388-9 Certification Regarding Lobbying Form 10-0388-9_20140418.pdf Yes No Fillable Printable
Form 10-0388-10 Certification of Compliance With Federal Requirements - State Home Construction Grant Form 10-0388-10_20140418.pdf Yes No Fillable Printable
Form and Instruction 10-0388-12 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions Form 10-0388-12_20140418.pdf Yes No Fillable Printable
Form 10-0388-13 Documents and Information Required for State Home Construction and Acquisition Grants - Post-Grant Requirements Form 10-0388-13_20140418.pdf Yes No Fillable Printable

Community and Social Services Community and Regional Development

 

50 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 0 0 0 50
Annual IC Time Burden (Hours) 1,200 0 0 0 0 1,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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