VA Homeless Providers Grant and Per Diem Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-0361-PDO Homeless Provider Grant and Per Diem Program - Per Diem Only Application	Form	Removed	Available
Form 10-0361-SN Homeless Providers Grant and Per Diem Program Special Needs Application	Form and Instruction	Removed	Available
Form 10-0361-CG Homeless Providers Grant and Per Diem Program Captial Grant Application	Form and Instruction	Removed	Available
Form 10-0361-TA Homeless Providers Grant and Per Diem Program Technical Assistance Application	Form and Instruction	Removed	Available
Form 10-0361-TA Homeless Providers Grant and Per Diem Program	Form and Instruction	Removed	Available
2900-0554-Supporting Statement Revised for AP54_updated 062921.docx	Supporting Statement A	Uploaded 2021-07-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28735	Homeless Providers Grant and Per Diem Program	Form	Removed	Homeless Provider Grant and Per Diem Program - Per Diem Only Application
28735	Homeless Providers Grant and Per Diem Program	Form and Instruction	Removed	Homeless Providers Grant and Per Diem Program Special Needs Application
28735	Homeless Providers Grant and Per Diem Program	Form and Instruction	Removed	Homeless Providers Grant and Per Diem Program Captial Grant Application
28735	Homeless Providers Grant and Per Diem Program	Form and Instruction	Removed	Homeless Providers Grant and Per Diem Program Technical Assistance Application
28735	Homeless Providers Grant and Per Diem Program	Form and Instruction	Removed
28735	Homeless Providers Grant and Per Diem Program	Instruction	Removed
244669	Application for Case Management Grant		New
244668	Application for Special Needs Grant		New
244667	Application for Per Diem for Non-Capital Grants		New
244666	Application for Capital Grants and Per Diem		New

ICR Details

OMB Control No: 2900-0554	ICR Reference No: 202011-2900-007
Status: Historical Active	Previous ICR Reference No: 201706-2900-011
Agency/Subagency: VA	Agency Tracking No: 2900-0554
Title: VA Homeless Providers Grant and Per Diem Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/22/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/09/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved
Responses	950	0	0
Time Burden (Hours)	20,500	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Public Law 109-461 provided permanent authority for VA’s Homeless Providers Grant and Per Diem Program for homeless Veterans. Funds appropriated to the Department of Veterans Affairs (VA) for this program are expected to be significantly less than the total amount requested by applicants. Information must be collected to determine which applicants are eligible, and to prioritize applications for determining who will be awarded funds. VA does not require applicants to use a VA Form to respond to the collection of information. Rather, VA requires applicants to respond to the collection of information as published in the Notice of Funding Opportunity (NOFO) in standard business format. VA provides the outline for the collection in the NOFO and uses the standard business format collections to evaluate applicants for all the grant programs authorized under the statutory authority for VA to make homeless grants. Updates to the VA Homeless Providers Grant and Per Diem Program were published in a proposed rule in 2017 and made final in 2021 -- the below 60-day and 30-day notice citations correspond to the proposed rule and final rule citations for RIN 2900-AP54. The comments received in response to the proposed rule are thoroughly discussed and adjudicated in the text of the final rule. This ICR has been submitted this way because there is no proposed rule ICR reference number to use as a basis for a final rule submission. When VHA attempted to submit the final rule and reference RIN 2900-AP54, the ROCIS system would only allow a request for "Emergency" clearance, instead of a regular 3-year PRA clearance.

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Authorizing Statute(s): PL: Pub.L. 107 - 95 2001 through 2066 Name of Law: Homeless Veterans Comprehensive Assistance Act of 2001
   PL: Pub.L. 109 - 461 502 through 503 Name of Law: Goals for Participation by small business owned and Controlled by Veterans in Procurement Contracts
   PL: Pub.L. 106 - 107 1 through 9 Name of Law: Federal Financial Assistance Management Improvement Act of 1999
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AP54	Final or interim final rulemaking	86 FR 33518	06/25/2021

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 34457	07/25/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 33518	06/25/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Application for Capital Grants and Per Diem
Application for Case Management Grant
Application for Per Diem for Non-Capital Grants
Application for Special Needs Grant
Homeless Providers Grant and Per Diem Program	10-0361-SN, 10-0361-CG, 10-0361-TA, 10-0361-PDO	Homeless Providers Grant and Per Diem Program Technical Assistance Application ,   Homeless Providers Grant and Per Diem Program Captial Grant Application ,   Homeless Providers Grant and Per Diem Program Special Needs Application ,   Homeless Provider Grant and Per Diem Program - Per Diem Only Application

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	950	0	0	950	-1,450	1,450
Annual Time Burden (Hours)	20,500	0	0	20,500	-19,090	19,090
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden hours and respondent burden account for BLS annual wage adjustments. Also, the estimated burden accounts for the addition of the GPD Case Management grants (38 CFR 61.90-98, adopted as a final rule on 6/26/2019) and for the sunset of Technical Assistance grants. Compliance reports no longer have an associated burden. Compliance information is captured elsewhere and therefore is not repeated in order to avoid duplication.

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Annual Cost to Federal Government: $188,650

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/09/2021

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