OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application and reporting Requirements to Receive Grants Under 38 CFR 17.703, RIN 2900-AO01

ICR 201209-2900-005 · OMB 2900-0790 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 10-10056 Application and reporting Requirements to Receive Grants Under 38 CFR 17.703, RIN 2900-AO01 Form and Instruction New Available
4040-0006.pdf Supplementary Document Uploaded 2012-10-02 Available
4040-0002.pdf Supplementary Document Uploaded 2012-10-02 Repair queued
VTS Survey_VA Form 10-0517.docx Supplementary Document Uploaded 2012-10-02 Available
AO01_SF-425.pdf Supplementary Document Uploaded 2012-10-02 Available
AO01_SF-424.doc Supplementary Document Uploaded 2012-10-02 Available
PRA Justification_RIN_AO01-P_OIRA EDIT 3-5-13[1].docx Supporting Statement A Uploaded 2013-03-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
205997 Application and reporting Requirements to Receive Grants Under 38 CFR 17.703, RIN 2900-AO01 Form and Instruction New
ICR Details
2900-0790 201209-2900-005
Historical Inactive
VA
Application and reporting Requirements to Receive Grants Under 38 CFR 17.703, RIN 2900-AO01
New collection (Request for a new OMB Control Number)   No
Regular
Preapproved 03/22/2013
Retrieve Notice of Action (NOA) 11/14/2012
The agency will ensure that the ICR displays the OMB control number and the required statement that persons are not required to respond to the collection of information unless it displays a currently valid OMB control number (5 CFR 1320.5(b)(2)(i)). This approval relates to an upcoming final rule and assumes no further changes when the final rule is published. If there are changes, it will have to be resubmitted.
  Inventory as of this Action Requested Previously Approved
03/31/2016 36 Months From Approved
1,267 0 0
2,517 0 0
0 0 0
Section 307 of title III of the Caregivers and Veterans Omnibus Health Services Act of 2010 (section 307) requires VA to establish a new program to provide grants to eligible entities to assist veterans in highly rural areas through innovative transportation services to travel to VA medical centers, and to otherwise assist in providing transportation services in connection with the provision of VA medical care to these veterans. Paragraph (a) of section 307 mandates that VA will award grants to eligible entities for these purposes, and paragraph (b) of section 307 mandates that VA will establish procedures for evaluating grant applications. This collection of information is necessary to fulfill VA's obligations under section 307.
PL: Pub.L. 111 - 163 307 Name of Law: Caregivers and Veterans Omnibus Health Services Act of 2010
  
None
2900-AO01 Proposed rulemaking 76 FR 251 12/30/2011
  76 FR 251 12/30/2011
Yes
  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 1,267 0 0 1,267 0 0
Annual Time Burden (Hours) 2,517 0 0 2,517 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new data collection and all hours are considered an increase.
$3,000,000
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/14/2012