State Veterans Homes Construction & Acquisition Grant Program (SVHCGP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-0388-14 Forms and Regulatons for Grants to States for Construction and Acquisition of State Home Facilities	Form and Instruction	Modified	Repair queued
30-Day FRN_2900-0661_State Veterans Homes Construction Grant Program (SVHCGP)_published 10312023.pdf	Supplementary Document	Uploaded 2023-10-31	Repair queued
60-Day FRN_2900-0661_State Veterans Homes Construction Grant Program (SVHCGP)_published 02282023.pdf	Supplementary Document	Uploaded 2023-03-01	Repair queued
Supporting Statement A_2900-0661_State Veterans Homes Construction Grant Program (SVHCGP)_updated Oct 2023.docx	Supporting Statement A	Uploaded 2023-11-01	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28939	Forms and Regulatons for Grants to States for Construction and Acquisition of State Home Facilities	Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0661	ICR Reference No: 202302-2900-003
Status: Received in OIRA	Previous ICR Reference No: 201404-2900-021
Agency/Subagency: VA	Agency Tracking No: 2900-0661
Title: State Veterans Homes Construction & Acquisition Grant Program (SVHCGP)
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: 11/01/2023

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	50	0
Time Burden (Hours)	1,200	0
Cost Burden (Dollars)	0	0

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Abstract: 38 U.S.C. Sections 8133(a) and 8135(a) authorize and appropriate expenditure of funds for State Home Domiciliary, Nursing Home, and Hospital Care. These portions of the U.S.C. require, among other things, that the State applicant provide the Department of Veterans Affairs (VA) with an application. Only State governments and recognized federal tribes (their governments) will submit the information to complete an application for the State Veterans Homes Construction Grant Program (SVHCGP); private groups or citizens are not eligible. Applicants will complete VA Forms 10-0388-1, 10-0388-2, 10-0388-3, 10-0388-4, 10-0388-5, 10-0388-6, 10-0388-7, 10-0388-8, 10-0388-9, 10-0388-10, 10-0388-12, and 10-0388-13 to apply for the SVHCGP and to certify compliance with VA requirements. VA uses this information, along with other documents submitted to evaluate the feasibility of the projects for VA participation, to determine eligibility for a grant awards.

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Authorizing Statute(s): US Code: 38 USC 8135(a) Name of Law: Applications with respect to projects; payments
   US Code: 38 USC 8133(a) Name of Law: Authorization of appropriations
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 12721	02/28/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 74565	10/31/2023
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Forms and Regulatons for Grants to States for Construction and Acquisition of State Home Facilities	10-0388-14, 10-0388-10, 10-0388-12, 10-0388-13, 10-0388-1, 10-0388-2, 10-0388-3, 10-0388-4, 10-0388-7, 10-0388-5, 10-0388-6, 10-0388-8, 10-0388-9	VA Checklist of Major Requirements for State Homes Construction/Acquisition Grants ,   Documents and Information Required for State Home Construction and Acquisition Grants - Initial Application ,   Certification of Compliance with Provisions of the Davis-Bacon Act ,   State Home Construction Grant Program Space Program Analysis - Nursing Home & Domiciliary ,   Sate Home Construction Grant Program Space Program Analysis - Adult Day Care ,   Additional Documents and Information Required for State Home Construction and Acquisition Grants Application ,   Certification of State Matching Funds To Qualify for Group 1 on the Priority List ,   Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions ,   Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals ,   Certification Regarding Lobbying ,   Certification of Compliance With Federal Requirements - State Home Construction Grant ,   Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions ,   Documents and Information Required for State Home Construction and Acquisition Grants - Post-Grant Requirements

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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	50	0	0	0	0	50
Annual Time Burden (Hours)	1,200	0	0	0	0	1,200
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:

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Annual Cost to Federal Government: $0

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.     Yes

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.     Yes

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: 11/01/2023

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