10-0388-1

Documents and Information Required for State Home Construction and Acquisition Grants Initial Application

Agency
VA
Revision
June 2020
Fillable fields
7
Pages
2
Official source
VA form page
Checked
October 20, 2026
Fill 10-0388-1 online
Page 1 of form 10-0388-1

VA Form 10-0388-1: State Home Construction and Acquisition Grants Initial Application

VA Form 10-0388-1 is the U.S. Department of Veterans Affairs list of Documents and Information Required for State Home Construction and Acquisition Grants Initial Application. It belongs to VA's State Home Construction Grant Program (SHCGP), and VA's forms feed lists it under the Veterans Health Administration. The form says an initial application should be submitted to the SHCGP by April 15 if the state wishes consideration for placement on the priority list for the next fiscal year.

The form is two pages. It opens with the project description, project location and FAI number, then lists the standard forms in Section I, the documentation requirements in Section II and additional documentation for bed projects in Section III. Page 2 holds the certification signed by the authorized state official. It is completed by a state, not by individual Veterans.

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Top of page 1 of VA Form 10-0388-1: State Home Construction and Acquisition Grants Initial Application, as printed by VA

What's on VA Form 10-0388-1

Project details

Project description, project location and the FAI number at the top of page 1.

Section I: Standard forms

SF 424, Application; SF 424C, Budget Information, Construction Programs; and SF 424D, Assurances, Construction Programs. The form says the equipment cost estimate is not to exceed 10 percent of the construction costs, and the contingency estimate 5 percent for new construction or 8 percent for remodeling projects.

Section II: Documentation requirements

Description and scope of the project and site, the governor's designation letter, a needs assessment, state clearinghouse comments under Executive Order 12372, schematic drawings and a space program analysis for nursing home or domiciliary.

Needs assessment criteria

For bed projects: veteran population demographics, travel distances over two hours, VA, state and community nursing home and domiciliary beds with occupancy rates for the previous fiscal year, waiting lists, acute and emergency care plans and staffing. For other projects: the reason for and scope of the project.

Section III: Bed projects

Proximity to a sufficient concentration of veterans 65 and older, a five-year capital plan, a financial plan for the first three years of operation, a certified count of state-operated beds and any justification for beds above the maximum defined in 38 CFR 59.40.

Certification and notices

The authorized state official's name, title, signature and date, then the Paperwork Reduction Act notice with OMB Number 2900-0661 and an estimated burden of 6 hours.

How to complete VA Form 10-0388-1

  1. 1

    Describe the project

    Enter the project description, project location and FAI number at the top of page 1.

  2. 2

    Gather the standard forms

    Section I lists SF 424, SF 424C and SF 424D, with the equipment and contingency limits printed under SF 424C.

  3. 3

    Prepare the Section II documents

    The project description, the governor's designation letter, the needs assessment for the project type, clearinghouse comments or a compliance certification, schematic drawings and the space program analysis.

  4. 4

    Add the bed project documents

    For bed projects, Section III lists items 7 to 11, including the five-year capital plan and the three-year financial plan.

  5. 5

    Sign the certification

    The authorized state official enters a name and title, signs and dates the certification on page 2.

  6. 6

    Submit by April 15

    The form says an initial application should be submitted to the SHCGP by April 15 for consideration for the next fiscal year's priority list.

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Where it goes

Recipient

The form names VA's State Home Construction Grant Program (SHCGP) as the place the initial application goes. It prints no mailing address.

Deadline

The form says an initial application should be submitted by April 15 if the state wishes consideration for placement on the priority list for the next fiscal year.

Complete package

The notice says response is voluntary, but VA will be unable to authorize a grant without a complete package.

Edition

The June 2020 edition, marked VA FORM 10-0388-1, JUN 2020. It carries OMB Number 2900-0661.

Related forms

Who uses VA Form 10-0388-1?

  • States seeking a grant

    The form is part of a state's initial application to the State Home Construction Grant Program for placement on the priority list for the next fiscal year.

  • The authorized state official

    Page 2 asks for the name, title, signature and date of the authorized state official, who certifies that the information submitted to VA is true and correct to the best of their knowledge and ability.

  • The state representative

    Section II asks for a governor's letter, or a letter from the agency the governor authorized, designating the state representative and giving VA a way to contact that person. The form says the state representative notifies VA immediately of any changes.

  • VA's grant program

    The notice on page 2 says VA uses this information, with other documents submitted by the states, to determine project feasibility, meet requirements for a grant award and rank projects on the annual fiscal year priority list.

  • Bed projects and other projects

    Section II has one needs assessment list for projects adding or replacing nursing home or domiciliary beds and a shorter one for projects that do not. Section III is for bed projects.

The form is completed by a state applying for a VA State Home construction or acquisition grant, not by individual Veterans.

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Questions about Form 10-0388-1

What is VA Form 10-0388-1 for?

It lists the documents and information a state includes in an initial application for a VA State Home construction or acquisition grant.

Who signs VA Form 10-0388-1?

The authorized state official, who certifies that the information submitted to VA is true and correct to the best of their knowledge and ability.

When is the initial application due?

The form says it should be submitted to the State Home Construction Grant Program by April 15 if the state wishes consideration for placement on the priority list for the next fiscal year.

Does every project need the Section III documents?

Section III is titled Additional Documentation for Bed Projects. Section II also has a separate, shorter needs assessment list for projects not adding or replacing nursing home or domiciliary beds.

Do individual Veterans file this form?

No. The form is completed by a state and signed by its authorized state official as part of a grant application.

How long does the form take?

The Paperwork Reduction Act notice estimates an average of 6 hours per response.