Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)

Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0031 can be found here:

Documents and Forms

Document Name Document Type
Form 26-4555C Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c) Form
26-4555C Veteran/Servicemember's Supplemental Application for Ass VA Form 26-4555c (7-7-14).pdf www.va.gov/vaforms/ Form

Information Collection (IC) Details

IC Title:	Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)	Agency IC Tracking Number:	2900-0031 VBA-LGY-YM

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 36.4404(a) 38 CFR 36.4405 38 CFR 36.4402(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	26-4555C	Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing	VA Form 26-4555c (7-7-14).pdf	www.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.