Handbook 135 is a guide to understanding the life cycle cost (LCC) methodology and criteria established by the Federal Energy Management Program (FEMP) for the economic evaluation of high-performance facility projects, including energy efficiency, water conservation, and renewable energy projects in all federal facilities. It expands on the life cycle cost methods and criteria contained in the FEMP rules published in 10 CFR 436, Subpart A, which applies to all federal agencies.

The Surgical and Endovascular Service Design Guide (PG-18-12 Chapter 286) was developed as a design tool to assist VA clinical, contracting, planning, construction and engineering staff to better understand the design process, and to better enhance their collaboration with the design team throughout the planning and design phases of a specific project. This Design Guide is not intended to be project-specific.