10-0388-5

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

Agency
VA
Revision
June 2020
Fillable fields
7
Pages
2
Official source
VA form page
Checked
October 20, 2026
Fill 10-0388-5 online
Page 1 of form 10-0388-5

VA Form 10-0388-5: Additional Documents for State Home Construction and Acquisition Grants

VA Form 10-0388-5 is the U.S. Department of Veterans Affairs list of Additional Documents and Information Required for State Home Construction and Acquisition Grants Application. VA's form page lists it under the Veterans Health Administration (VHA). The form says the State Representative submits these items to VA, State Home Construction Grant Program (SHCGP), to receive a grant, and an authorized State official signs the certification at the end. It is not filed by individual Veterans.

Section I covers State matching funds documentation, which the form says is due August 1st. Section II lists eight application requirements, from environmental reviews and historic preservation consultation to design development drawings and VA certification forms. Eight conditional award requirements follow, under 38 CFR 59.70.

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What's on VA Form 10-0388-5

Project details

Project description, project location and FAI number.

Section I: State matching funds

Due August 1st: VA Form 10-0388-6, the certification of State matching funds, and evidence such as an act or issued bonds that the state has its share of the estimated total costs of construction.

Section II, items 1 to 3: environmental and historic review

A Phase I environmental site assessment for projects with ground disturbance or a new site, a NEPA environmental assessment or Categorical Exclusion (CATEX) under 38 CFR Part 26, and the State Historic Preservation Office consultation letters.

Section II, items 4 to 8: drawings and certifications

One copy of design development (35 percent) drawings and specifications, with floor, demolition, roof and fire protection plans, elevations, sections and engineering drawings, plus VA Forms 10-0388-7, 10-0388-8, 10-0388-9 and 10-0388-2.

Conditional award requirements, items 9 to 16

Final drawings and specifications, the advertisement and request for bids, a budget justification worksheet and SAM search results, VA Form 10-0388-12, final SF424 and SF424C forms, VA Form 10-0388-10, assurance of title to the site and three signed originals of the Memorandum of Agreement.

Certification and notice

A warning that the law provides severe penalties for willful submission of false information, the official's name, title, signature and date, and a Paperwork Reduction Act notice with OMB Number 2900-0661 and an estimated burden of 6 hours.

How to complete VA Form 10-0388-5

  1. 1

    Enter the project details

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

  2. 2

    Gather the matching funds documents

    Section I lists VA Form 10-0388-6 and evidence of the state's share, which the form marks as due August 1st.

  3. 3

    Prepare the environmental and historic reviews

    The form describes the Phase I ESA, the CATEX form or draft environmental assessment for VA review, and the SHPO consultation letters.

  4. 4

    Collect the drawings and VA certifications

    Section II items 4 to 8 list the design development drawings and four VA certification forms.

  5. 5

    Prepare the conditional award items

    The form says that if all earlier requirements are met, a State may be eligible for a conditional approval of a grant under 38 CFR 59.70, and lists items 9 to 16 under that heading.

  6. 6

    Sign and date the certification

    The authorized State official enters a name and title, signs and dates the form in mm/dd/yyyy format.

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Where it goes

VA's State Home Construction Grant Program

The form says the State Representative submits the Section I documents to VA, State Home Construction Grant Program (SHCGP), and the Section II certifications to VA.

Matching funds date

Section I is headed State Matching Funds Documentation Due August 1st.

No address on the form

The form and VA's page do not print a mailing address, fax number or online submission option.

Edition

The PDF footer reads VA FORM 10-0388-5, JUN 2020, matching the June 2020 revision date on VA's page. OMB Number 2900-0661.

Related forms

Who uses VA Form 10-0388-5?

  • State Representatives

    The form says the State Representative submits the listed documents and certifications to VA's State Home Construction Grant Program to receive a grant.

  • Authorized State officials

    The closing certification asks for the authorized State official's name, title, signature and the date in mm/dd/yyyy format.

  • Environmental professionals

    The Phase I environmental site assessment is conducted under ASTM Standard E1527-13 by an Environmental Professional as defined in Section 7.5.1 of that standard.

  • State Historic Preservation Offices

    The form asks for the grant applicant's letter to the State Historic Preservation Office (SHPO), the SHPO response letter and the approval memo from the VA Historic Preservation Office.

  • Contractors

    Item 12 says VA Form 10-0388-12, the lower tier debarment, suspension, ineligibility and voluntary exclusion certification, is to be signed by the contractors.

  • VA reviewers

    VA reviews the CATEX form or draft environmental assessment. The form says the FONSI includes two signature blocks, VA's Environmental Engineer and VA's SVH Program Manager.

The form names the people and offices involved in each requirement.

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Questions about Form 10-0388-5

What is VA Form 10-0388-5?

It lists the additional documents and information a State provides VA for a State Home construction or acquisition grant application, and ends with a certification by an authorized State official.

When is the matching funds documentation due?

Section I of the form is headed State Matching Funds Documentation Due August 1st.

Which VA forms does it list?

VA Forms 10-0388-6, 10-0388-7, 10-0388-8, 10-0388-9, 10-0388-2, 10-0388-12 and 10-0388-10.

When does the form ask for a Phase I environmental site assessment?

For any project that includes ground disturbance or acquisition of a new site, conducted under ASTM Standard E1527-13 by an Environmental Professional as that standard defines.

What is a CATEX on this form?

A Categorical Exclusion. The form says one may apply if the project falls within a CATEX listed in 38 CFR Part 26 and there are no extraordinary circumstances that indicate the potential for adverse environmental effects. Otherwise the state prepares a draft environmental assessment for VA review.

How many copies of the Memorandum of Agreement does it ask for?

Item 16 asks for three signed originals of the Memorandum of Agreement that includes provisions in the Sample Memorandum of Agreement.

How long does it take to complete?

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