Model Agreement between the Department of Veterans Affairs and individual State Public Assistance Agencies (SPAAs)
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(This Model Agreement was extended for an additional 12 months in accordance with the Computer Matching Act as approved by the VA Data Integrity Board on February 11, 2008 and the Pennsylvania Department of Public Welfare on February 26, 2008. This extends the Model Agreement through February 13, 2009)
The signatory to this Model Agreement authorizes the entity named below to participate in the Public Assistance Reporting Information System (PARIS) project activities facilitated by the United States Department of Health and Human Services, Administration for Children and Families. The PARIS project will match public assistance data against data from The Department of Veterans Affairs as described in the Computer Matching Agreement executed by the Department of Veterans Affairs (VA) Data Integrity Board on June 6, 2006 and published in the Federal Register on July 14, 2006 . The entity named below acknowledges its understanding of the terms and conditions of said Computer Matching Agreement. The entity named below further acknowledges that its compliance with the terms and conditions of the Computer Matching Agreement is required in order to participate in the PARIS project and, accordingly, it agrees herewith to abide by those terms and conditions.
The signatory to this Model Agreement hereby affirms that he or she is authorized to enter into this agreement on behalf of the entity named below.
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(Type in State’s Name and Department or Agency name, eg. Human Services)
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(Type in Name & Title)
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(Signature)
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(Type in Address and Phone number)
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(Type in Date)