Supportive Services for Veteran Families (SSVF) Program - Grant Application, Survey & Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA Form 10-10072 Supportive Services for Veteran Families Program	Form and Instruction	Modified	Repair queued
30-Day FRN_2900-0757_SSVF Program Grant Application & Report_published 10252021.pdf	Supplementary Document	Uploaded 2021-11-04	Repair queued
60-Day FRN_2900-0757_SSVF Program Grant Application & Report_published 07152021.pdf	Supplementary Document	Uploaded 2021-10-19	Repair queued
Supporting Statement B_SSVF_2900-0757_updated Nov 2021.docx	Supporting Statement B	Uploaded 2021-11-05	Repair queued
Supporting Statement A_SSVF Program_2900-0757_updated Oct 2021.docx	Supporting Statement A	Uploaded 2021-11-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194740	Supportive Services for Veteran Families Program	Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0757	ICR Reference No: 202107-2900-001
Status: Received in OIRA	Previous ICR Reference No: 201611-2900-008
Agency/Subagency: VA	Agency Tracking No: 2900-0757
Title: Supportive Services for Veteran Families (SSVF) Program - Grant Application, Survey & Report
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/16/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	24,480	0
Time Burden (Hours)	25,505	0
Cost Burden (Dollars)	0	0

---

Abstract: The purpose of the SSVF Program is to provide supportive services grants to private non-profit organizations and consumer cooperatives who will coordinate or provide supportive services to very low-income veteran families who are residing in permanent housing, are homeless and scheduled to become residents of permanent housing within a specified time period, or after exiting permanent housing, are seeking other housing that is responsive to such very low-income veteran family’ needs and preferences. The new SSVF Program is within the continuum of VA'’s homeless services programs.

---

Authorizing Statute(s): US Code: 38 USC 2044 Name of Law: Financial Assistance for Supportive Services
   PL: Pub.L. 110 - 387 604 Name of Law: Veterans¿ Mental Health and Other Care Improvements Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 37406	07/15/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 59005	10/25/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Supportive Services for Veteran Families Program	VA Form 10-10072a, VA Form 10-10072c, VA Form 10-10072, VA Form 10-10072b	Supportive Services for Veterans Families Program Application ,   SSVF Program Participant Satisfaction Survey ,   SSVF Quarterly Grantee Performance Report ,   Renewal Application for Supportive Services Grant

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	24,480	0	0	0	0	24,480
Annual Time Burden (Hours)	25,505	0	0	0	0	25,505
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $180,026

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

---

Common Form ICR:  No

---

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: 12/16/2021

---