Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion and Scoring Criteria for SAH Assistive Technology Grant

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion (26-0967) and Scoring Criteria for SAH Assistive Technology Grant (26-0967a)

OMB: 2900-0821

IC ID: 246394

Information Collection (IC) Details

View Information Collection (IC)

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion and Scoring Criteria for SAH Assistive Technology Grant 2900-0821
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 26-0967 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion VBA-26-0967-ARE(03-23-2021)pdf.pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 26-0967a Scoring Criteria for SAH Assistance Technology Grants VBA-26-0967a-ARE(03-23-2021).pdf www.va.gov/forms Yes No Fillable Printable

General Government Legislative Functions

CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION   5 FR 1320

20 0
   
Individuals or Households
 
   100 %

  Requested 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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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