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OMB Control No: 2900-0905	ICR Reference No: 202512-2900-016
Status: Received in OIRA	Previous ICR Reference No: 202211-2900-003
Agency/Subagency: VA	Agency Tracking No: 2900-0905
Title: Legal Services for Homeless Veterans and Veterans At-Risk for Homelessness (LSV-H) Grant Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/06/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	710	0
Time Burden (Hours)	7,020	0
Cost Burden (Dollars)	0	0

Abstract: Public Law 116-315, Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020, provided authority for VA's Homeless Programs Office (HPO) to grant funding to eligible organizations that will coordinate or provide legal services to Veterans who are homeless or at risk of homelessness. Several sections, including section 4202, of the Act were created to better serve veterans who are struggling with homelessness or housing insecurity. Requests for funding by applicants are likely to exceed the amount of funding appropriated to the VA for these grants. The VA must collect data to prioritize applicants for funding. The legal authority for this data collection is found under 38 USC, Part I, Chapter 5, Section 527 that authorizes the collection of data that will allow measurement and evaluation of the Department of Veterans Affairs Programs, the goal of which is to improve health care and services for Veterans. This information collection includes grant eligibility criteria, application requirements, scoring criteria, constraints on the allocation and use of the funds, and other requirements necessary to implement this grant program. HPO will use information collected to determine if an applicant is eligible to receive grant funding. HPO will also obtain information necessary to ensure that federal funds are awarded to applicants who are financially stable and have the capacity to conduct the program for which a grant is awarded.

Authorizing Statute(s): PL: Pub.L. 116 - 315 4202 Name of Law: Veterans Health Care and Benefits Improvement Act of 2020

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 8310	02/20/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 24645	05/06/2026
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Application for Legal Services Grant	10-318a
Budget Changes and Corrective Action Plan (CAP)	10-319b
Quarterly Grantee Performance Report	10-319a
Renewal Application for Legal Services Grant	10-318b

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion
Annual Number of Responses	710	710
Annual Time Burden (Hours)	7,020	7,020
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are increases in the anticipated number of responses and burden hours based upon program data since the last PRA clearance.

Annual Cost to Federal Government: $104,795

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Frances O'Donnell 703 405-2449 fran.odonnell@cathexiscorp.com

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