Legal Services for Veterans – Legal Assistance for Access to VA Programs (LSV-A) Grant Program (AS17-P)

Forms and Documents

Document Name	Status
Form 10-367a Budget Changes and Corrective Action Plan (CAP) - LSV-A Grant Form and Instruction	New
Form 10-367c Bi-annual Finance Report - LSV-A Form and Instruction	New
Form 10-367b Quarterly Grantee Performance Report - LSV-A Grant Form and Instruction	New
Form 10-366b Renewal Application - LSV-A Grant Form and Instruction	New
Form 10-366a Application - LSV-A Grant Form and Instruction	New
SSA_AS17_Legal Services for Veterans - Legal Assistance for Access to VA Programs (LSV-A) Grant Prog_2900-NEW_rev Oct 2024.docx Supporting Statement A	2024-10-02

IC Document Collections

IC ID	Document Title	Status
271338	Budget Changes and Corrective Action Plan (CAP) - LSV-A Grant Form and Instruction	New
271337	Bi-annual Finance Report - LSV-A Form and Instruction	New
271334	Quarterly Grantee Performance Report - LSV-A Grant Form and Instruction	New
271331	Renewal Application - LSV-A Grant Form and Instruction	New
271328	Application - LSV-A Grant Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202409-2900-017
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No: 2900-NEW
Title: Legal Services for Veterans – Legal Assistance for Access to VA Programs (LSV-A) Grant Program (AS17-P)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/02/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	705	0
Time Burden (Hours)	4,630	0
Cost Burden (Dollars)	0	0

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Abstract: Public Law 116-283, Section 548b, provided authority for VA's Homeless Programs Office (HPO) to establish a pilot program to assess the feasibility and advisability of awarding grants to eligible entities to establish new legal clinics or enhance existing legal clinics or other pro bono efforts in locations other than VA facilities. The proposed regulation (AS17) will allow VA to implement a legal services grant program as required by law, directly funding the provision of legal assistance with any VA program, with military discharge or characterization of service upgrades, and with review or correction of military records. The grant program would serve all individuals discharged or released from Armed Forces, regardless of the component in which they served or the status of their military discharge or character of service. Requests for funding by applicants are likely to exceed the amount of funding appropriated to the VA for these grants. The VA must collect data to prioritize applicants for funding. The legal authority for this data collection is found under 38 USC, Part I, Chapter 5, Section 527 that authorizes the collection of data that will allow measurement and evaluation of the Department of Veterans Affairs Programs, the goal of which is to improve health care for Veterans.

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Authorizing Statute(s): US Code: 38 USC 527 Name of Law: Evaluation and Data Collection
   PL: Pub.L. 116 - 283 548b Name of Law: William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AS17	Proposed rulemaking	89 FR 80172	10/02/2024

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Application - LSV-A Grant	10-366a	Application - LSV-A Grant
Bi-annual Finance Report - LSV-A	10-367c	Bi-annual Finance Report - LSV-A Grant
Budget Changes and Corrective Action Plan (CAP) - LSV-A Grant	10-367a	Budget Changes and Corrective Action Plan (CAP) - LSV-A Grant
Quarterly Grantee Performance Report - LSV-A Grant	10-367b	Quarterly Grantee Performance Report - LSV-A Grant
Renewal Application - LSV-A Grant	10-366b	Renewal Application - LSV-A Grant

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ICR Summary 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	705	0	0	705	0	0
Annual Time Burden (Hours)	4,630	0	0	4,630	0	0
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: This is a new collection and all burden hours are considered a program increase.

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Annual Cost to Federal Government: $81,323

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: 10/02/2024

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