OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Veterans Employment Pay For Success (VEPFS), Grant Program Application

ICR 201610-2900-002 · OMB 2900-0847 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 10193 VA Form 10193 VEPFS Application Form and Instruction Modified Available
60-day FRN 2900-0847.pdf Supplementary Document Uploaded 2017-01-31 Repair queued
Standard Form 424.pdf Supplementary Document Uploaded 2016-08-09 Repair queued
VBA-26-0967a.pdf Supplementary Document Uploaded 2016-08-09 Repair queued
VBA-26-0967.pdf Supplementary Document Uploaded 2016-08-09 Available
Emergency Request Memo-VEPFS Interim Final Rule AP72 (003) 882016.docx Supplementary Document Uploaded 2016-08-09 Available
White Paper -Correction for IFR Citation date.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-08-11 Available
PRA JUSTIFICATION VEPFS 2900-0847.docx Supporting Statement A Uploaded 2017-01-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
222913 38 CFR 21.447(a)(1) and 21.448(a) Quarterly Fiscal Compliance Reports Unchanged
222393 VA Form 10193 VEPFS Application Form and Instruction Modified
ICR Details
2900-0847 201610-2900-002
Historical Active 201608-2900-006
VA
Veterans Employment Pay For Success (VEPFS), Grant Program Application
Extension without change of a currently approved collection   No
Regular
Approved without change 06/13/2017
Retrieve Notice of Action (NOA) 01/31/2017
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved 06/30/2017
65 0 65
2,040 0 2,040
0 0 0
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.
US Code: 38 USC 3119 Name of Law: Rehabilitation Research and Special Projects
   US Code: 38 USC 501 Name of Law: Rules and Regulations
  
None
Not associated with rulemaking
  81 FR 76699 11/03/2016
82 FR 8566 01/26/2017
No
  Total Approved 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 65 65 0 0 0 0
Annual Time Burden (Hours) 2,040 2,040 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$6,043
No
No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 [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.
01/31/2017