Legal Services for Homeless Veterans and Veterans At-Risk for Homelessness (LSV-H) Grant Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-319b Budget Changes and Corrective Action Plan (CAP)	Form and Instruction	Modified	Available
Form 10-319a Quarterly Grantee Performance Report	Form and Instruction	Modified	Available
Form 10-318b Renewal Application for Legal Services Grant	Form and Instruction	Modified	Available
Form 10-318a Application for Legal Services Grant	Form and Instruction	Modified	Available
2900-0905_PO Response to Public Comment_LSV-H Grant Program_05062026.docx	Supplementary Document	Uploaded 2026-05-06	Available
VA-2026-VACO-0001-0155.pdf	Public Comments	Uploaded 2026-04-21	Available
30-Day FRN_2900-0905_LSV-H Grant Program_published 05062026.pdf	Supplementary Document	Uploaded 2026-05-06	Available
60-Day FRN_2900-0905_LSV-H Grant Program_published 02202026.pdf	Supplementary Document	Uploaded 2026-03-02	Available
SSA_2900-0905_LSV-H Grant Program_updated May 2026.docx	Supporting Statement A	Uploaded 2026-05-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
253980	Budget Changes and Corrective Action Plan (CAP)	Form and Instruction	Modified	Budget Changes and Corrective Action Plan (CAP)
253979	Quarterly Grantee Performance Report	Form and Instruction	Modified	Quarterly Grantee Performance Report
253978	Renewal Application for Legal Services Grant	Form and Instruction	Modified	Renewal Application for Legal Services Grant
253977	Application for Legal Services Grant	Form and Instruction	Modified	Application for Legal Services Grant

ICR Details

OMB Control No: 2900-0905	ICR Reference No: 202512-2900-016
Status: Received in OIRA	Previous ICR Reference No: 202211-2900-003
Agency/Subagency: VA	Agency Tracking No: 2900-0905
Title: Legal Services for Homeless Veterans and Veterans At-Risk for Homelessness (LSV-H) Grant Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/06/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	710	0
Time Burden (Hours)	7,020	0
Cost Burden (Dollars)	0	0

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Abstract: Public Law 116-315, Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020, provided authority for VA's Homeless Programs Office (HPO) to grant funding to eligible organizations that will coordinate or provide legal services to Veterans who are homeless or at risk of homelessness. Several sections, including section 4202, of the Act were created to better serve veterans who are struggling with homelessness or housing insecurity. 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 and services for Veterans. This information collection includes grant eligibility criteria, application requirements, scoring criteria, constraints on the allocation and use of the funds, and other requirements necessary to implement this grant program. HPO will use information collected to determine if an applicant is eligible to receive grant funding. HPO will also obtain information necessary to ensure that federal funds are awarded to applicants who are financially stable and have the capacity to conduct the program for which a grant is awarded.

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Authorizing Statute(s): PL: Pub.L. 116 - 315 4202 Name of Law: Veterans Health Care and Benefits Improvement Act of 2020
  

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:
	91 FR 8310	02/20/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 24645	05/06/2026
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 Legal Services Grant	10-318a	Application for Legal Services Grant
Budget Changes and Corrective Action Plan (CAP)	10-319b	Budget Changes and Corrective Action Plan (CAP)
Quarterly Grantee Performance Report	10-319a	Quarterly Grantee Performance Report
Renewal Application for Legal Services Grant	10-318b	Renewal Application for Legal Services Grant

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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	710	0	0	710	0	0
Annual Time Burden (Hours)	7,020	0	0	7,020	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: There are increases in the anticipated number of responses and burden hours based upon program data since the last PRA clearance.

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Annual Cost to Federal Government: $104,795

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: 05/06/2026

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