Matching funds amount
The dollar amount of State funds, which the form describes as 35% of the total project cost, and the total project cost.
10-0388-6
Certification of State Matching Funds to Qualify for Group 1 on Priority List
VA Form 10-0388-6 is the U.S. Department of Veterans Affairs Certification of State Matching Funds to Qualify for Group 1 on the Priority List. VA's form page lists it under the Veterans Health Administration (VHA). An authorized State budget official signs it for a State Home construction grant project. It is not filed by individual Veterans.
In the certification, the official fills in the amount of State funds, which the form describes as 35% of the total project cost, the total project cost and the FAI number, and states that the funds were available on August 1 of the year written in and that further State action, such as further action to issue bonds, is not needed to make them available. The form cites Title 38 USC 8135(b)(2)(A) and Title 38 CFR 59.40.
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The dollar amount of State funds, which the form describes as 35% of the total project cost, and the total project cost.
The FAI number of the project and the year in which the funds were available on August 1.
A statement that further State action is not needed to make the funds available, such as further action to issue bonds.
Name and title of the authorized State budget official, a signature and the date in mm/dd/yyyy format.
A copy of the Act, as approved by the Governor, authorizing the project and making available the State's 35 percent matching funds. If the State has not appropriated the funds, the form asks for documentation showing the State has matching funds for the project.
OMB Number 2900-0661 and an estimated burden of 15 minutes per response, under the authority of 38 U.S. Code Sections 8133(a) and 8135(a).
Enter the amount of State funds and the total project cost in the certification sentence.
Add the project's FAI number and the year for the August 1 availability date.
Enter the name and title of the authorized State budget official.
Sign the form and enter the date in mm/dd/yyyy format.
Include a copy of the Governor-approved Act, or the documentation the form describes if the State has not appropriated the matching funds.
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VA Form 10-0388-5 says the State Representative submits VA Form 10-0388-6 to VA, State Home Construction Grant Program (SHCGP), with evidence that the state has its share of the estimated total costs of construction.
The certification refers to funds available on August 1, and VA Form 10-0388-5 heads its matching funds section Due August 1st.
The form and VA's page do not print a mailing address, fax number or online submission option.
The PDF footer reads VA FORM JUL 2013, matching the July 2013 revision date on VA's page. OMB Number 2900-0661.
10-0388-5
7 fields, 2 pages
10-0388-1
7 fields, 2 pages
10-0388-2
7 fields, 1 page
10-0388-10
6 fields, 1 page
10-0388-14
90 fields, 2 pages
10-0388-13
7 fields, 1 page
The signature block asks for the name and title of the authorized State budget official, a signature and the date.
The form's title ties the certification to qualifying for Group 1 on the priority list. Its notice says VA uses the information to rank projects in establishing the annual fiscal year priority list.
VA Form 10-0388-5 lists VA Form 10-0388-6 first in Section I, State Matching Funds Documentation Due August 1st.
The form's notice says VA uses this information, along with other documents submitted by the States, to determine the feasibility of projects for VA participation and to meet VA requirements for a grant award.
The form has no section for a Veteran's personal details, and VA's page lists no online version.
The form and VA Form 10-0388-5 describe who completes and receives it.
The agency’s own page for Form 10-0388-6.
The official blank form, to print or fill by hand.
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It is VA's Certification of State Matching Funds to Qualify for Group 1 on the Priority List, signed by an authorized State budget official for a State Home construction grant project.
The authorized State budget official. The form asks for the official's name, title, signature and the date.
The form describes the State funds as 35% of the total project cost, and its enclosure line refers to the State's 35 percent matching funds.
A copy of the Act, as approved by the Governor, authorizing the project and making the matching funds available. If the State has not appropriated the funds, the form asks for documentation showing the State has matching funds for the project.
It certifies that the funds were available on August 1 of the year entered. VA Form 10-0388-5 heads its State matching funds section Due August 1st.
The Paperwork Reduction Act notice estimates an average of 15 minutes per response.