OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Applicant Scoring Criteria and Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion (26-0967)

ICR 201406-2900-003 · OMB 2900-0821 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 26-0967 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Form New Available
26-0967 OMB Justification (3).doc Supporting Statement A Uploaded 2014-09-29 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
213207 Applicant Scoring Criteria Other-Open Response Questions New
211804 Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Form New
ICR Details
2900-0821 201406-2900-003
Historical Inactive
VA 2900-NEW VBA-LGY-NK
Applicant Scoring Criteria and Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion (26-0967)
New collection (Request for a new OMB Control Number)   No
Regular
Comment filed on proposed rule 09/30/2014
Retrieve Notice of Action (NOA) 08/18/2014
VA will resubmit the information collection request to OMB prior to the publication of the final rule.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0
38 U.S.C. 2108 states that a person or entity seeking an SAH technology grant shall submit an application for the grant in such form and manner as the Secretary shall specify. VA is publishing proposed regulations to outline the process, the criteria, and the priorities relating to the award of these research and development grants. The proposed regulations would require applicants to submit VA Form 26-0967, Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion. These regulations would also require applicants to provide statements addressing six scoring criteria for grant awards as part of their application. The information will be used by Loan Guaranty personnel in deciding whether an applicant meets the requirements and satisfies the scoring criteria for award of an SAH Assistive Technology grant under 38 U.S.C. 2108.
PL: Pub.L. 111 - 275 203 Name of Law: Veterans Benefits Act of 2010
  
None
2900-AO70 Proposed rulemaking 79 FR 53146 09/08/2014
No
Yes
Changing Regulations
No
This is a new collection based on a proposed regulation. The total number of respondents was reached by taking into consideration that the total amount disbursed for the grants is capped.
$1,723
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.
08/18/2014