Veterans Application for Assistance in Acquiring Special Housing Adaptations

ICR 201003-2900-008

OMB: 2900-0300

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2010-07-07
Supporting Statement A
2010-07-07
IC Document Collections
ICR Details
2900-0300 201003-2900-008
Historical Active 200706-2900-032
VA 2900-0300
Veterans Application for Assistance in Acquiring Special Housing Adaptations
Extension without change of a currently approved collection   No
Regular
Approved without change 07/28/2010
Retrieve Notice of Action (NOA) 06/17/2010
  Inventory as of this Action Requested Previously Approved
07/31/2013 36 Months From Approved 08/31/2010
75 0 75
25 0 25
0 0 0

This form is completed on behalf of veterans who are blind, or veterans who have lost or lost the use of both hands, in applying for benefits as authorized by 38 U.S.C 2101(b) for acquiring adaptations to veterans' homes.

US Code: 38 USC 2101 Name of Law: Veterans eligible for assistance
  
None

Not associated with rulemaking

  75 FR 59 03/29/2010
75 FR 109 06/08/2010
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 75 75 0 0 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$626
No
No
No
Uncollected
No
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/17/2010


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