View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion and Scoring Criteria for SAH Assistive Technology Grants
 
New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 26-0967 www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 26-0967a www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION  5 FR 1320

20 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20 0 20 0 0 0
Annual IC Time Burden (Hours) 40 0 40 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.