Project details
Project description, project location and an FAI number at the top of the page.
10-0388-8
Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals
VA Form 10-0388-8 is the U.S. Department of Veterans Affairs Certification Regarding Drug-Free Workplace Requirements for Grantees Other Than Individuals. VA's form page lists it under VHA. The form says the certification is required by the regulations implementing the Drug-Free Workplace Act of 1988, 38 CFR 44, Subpart F, and that those regulations require certification by grantees, prior to award, that they will maintain a drug-free workplace.
The signature block is for an authorized State official. The form's Paperwork Reduction Act notice says VA uses this information, along with other documents submitted by the States, to determine the feasibility of the projects for VA participation, to meet VA requirements for a grant award and to rank the projects in establishing the annual fiscal year priority list. It is collected under the authority of 38 U.S. Code Sections 8133(a) and 8135(a).
The form is one page: project details, seven numbered commitments and the signature block. Its title says it is for grantees other than individuals. You can fill out the PDF free in your browser on this page and download the result without an account.

Project description, project location and an FAI number at the top of the page.
A paragraph citing the Drug-Free Workplace Act of 1988 and 38 CFR 44, Subpart F. It says false certification or violation can be grounds for suspension of payments, suspension or termination of grants, or government-wide suspension or debarment.
Publishing a statement that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the workplace, setting up a drug-free awareness program, and giving each employee on the grant a copy of the statement.
Employees notify the employer of a criminal drug statute conviction for a violation in the workplace no later than five days after it. The grantee notifies the agency within ten days, takes one of the listed actions within 30 days and makes a good faith effort to keep a drug-free workplace.
Name and title of the authorized State official, signature and date in mm/dd/yyyy, under a line saying the law provides severe penalties for willful submission of false information.
OMB Number 2900-0661, an estimated burden of 1 hour per response, and a note that response is voluntary but VA will be unable to authorize a grant without a complete package.
Fill in the project description, project location and FAI number.
The undersigned certifies that it will provide a drug-free workplace by doing the things listed in paragraphs (1) to (7).
Enter the name and title of the authorized State official.
The authorized official signs and enters the date as mm/dd/yyyy.
The form says VA uses it with other documents submitted by the States for a grant award. It prints no mailing address.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no mailing address or submission method. Its notice says VA uses it along with other documents submitted by the States for a grant award.
The form says the regulations require certification by grantees prior to award.
VA's forms list places this form in the 10-0388 series, whose other forms cover State Home construction and acquisition grants.
The current edition is dated JUL 2013. It carries OMB Number 2900-0661 with an estimated burden of 1 hour.
10-0388-1
7 fields, 2 pages
10-0388-5
7 fields, 2 pages
10-0388-9
7 fields, 1 page
10-0388-10
6 fields, 1 page
10-0388-12
8 fields, 2 pages
10-0388-14
90 fields, 2 pages
The signature block asks for the name, title and signature of the authorized State official, with the date.
The title limits the form to grantees other than individuals. The form says the regulations require certification by grantees prior to award.
The notice refers to documents submitted by the States and says VA will be unable to authorize a grant without a complete package.
The form says the certification is a material representation of fact upon which reliance will be placed when the agency determines to award the grant.
Employees do not sign this form. Paragraph (3) says each employee engaged in the performance of the grant is to be given a copy of the grantee's drug-free workplace statement.
The form names who signs it and who relies on it.
The agency’s own page for Form 10-0388-8.
The official blank form, to print or fill by hand.
No tool matches that search.
The signature block asks for the name, title and signature of the authorized State official, with the date in mm/dd/yyyy.
The form says it is required by the regulations implementing the Drug-Free Workplace Act of 1988, 38 CFR 44, Subpart F, published in the January 31, 1989, Federal Register.
No. Its title says it is for grantees other than individuals, and its notice refers to documents submitted by the States for a VA grant award.
The form says false certification or violation of the certification shall be grounds for suspension of payments, suspension or termination of grants, or government-wide suspension or debarment.
The form says response is voluntary, but VA will be unable to authorize a grant without a complete package.
The Paperwork Reduction Act notice estimates an average of 1 hour per response.