OMB control number
Veterans Employment Pay For Success (VEPFS), Grant Program Application
OMB 2900-0847 · VA.
OMB 2900-0847
Section 3119 of title 38, United States Code, authorizes the Secretary of Veterans Affairs to make grants to or contract with public or nonprofit agencies, including institutions of higher learning, to advance “the knowledge, methods, techniques, and resources available for use in rehabilitation programs for veterans.” Section 3119 specifically authorizes the Secretary to make grants to such agencies to conduct or provide support for projects which are “designed to increase the resources and potential for accomplishing the rehabilitation of disabled veterans.” VA has codified these provisions in its regulations at 38 CFR 21.390 Rehabilitation research and special projects. The purpose of the VEPFS program is to provide one or more grants to fund Outcomes Payments for one or more PFS projects that seek to improve employment outcomes for Veterans with a Service-connected Mental Health Disability.
The latest form for Veterans Employment Pay For Success (VEPFS), Grant Program Application expires 2020-06-30 and is listed under ICR 201610-2900-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 10193 VA Form 10193 VEPFS Application | Form and Instruction |
 60-day FRN 2900-0847.pdf | Supplementary Document |
| Standard Form 424.pdf | Supplementary Document |
| VBA-26-0967a.pdf | Supplementary Document |
| VBA-26-0967.pdf | Supplementary Document |
| Emergency Request Memo-VEPFS Interim Final Rule AP72 (003) 882016.docx | Supplementary Document |
| White Paper -Correction for IFR Citation date.docx | Justification for No Material/Nonsubstantive Change |
| PRA JUSTIFICATION VEPFS 2900-0847.docx | Supporting Statement A |
 38 CFR 21.447(a)(1) and 21.448(a) Quarterly Fiscal Compliance Reports |
Information collection |
| VA Form 10193 VEPFS Application |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201610-2900-002 | Extension without change of a currently approved collection | 2017-01-31 | Approved without change | |
| 201608-2900-006 | No material or nonsubstantive change to a currently approved collection | 2016-08-11 | Approved without change | |
| 201607-2900-003 | New collection (Request for a new OMB Control Number) | 2016-08-09 | Approved without change |
OMB Details
VA Form 10193 VEPFS Application
Federal Enterprise Architecture: Community and Social Services - Social Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form VA Form 10193 | Veterans Employment Pay for Success (VEPFS) Grant Application | www.grants.gov | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.