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

ICR 201708-2900-038

OMB: 2900-0031

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2017-12-01
Supplementary Document
2017-09-21
Supporting Statement A
2018-01-03
ICR Details
2900-0031 201708-2900-038
Active 201404-2900-003
VA VBA-LGY-YA
Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 03/26/2018
Retrieve Notice of Action (NOA) 01/04/2018
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved
1,400 0 0
350 0 0
0 0 0

VA Form 26-4555c serves as application for specially adapted housing grant as authorized by 38 U.S.C. 2101(a). Application forms the basis for determination on suitability of the modifications or construction as required by 38 U.S.C. 2101(a) and decision on grant limitations.

US Code: 38 USC 2101(a) Name of Law: Veterans eligible for assistance
   PL: Pub.L. 109 - 233 101 Name of Law: Veterans Housing Opportunity and Benefits Act of 2006
  
None

Not associated with rulemaking

  82 FR 44029 09/20/2017
82 FR 56856 11/30/2017
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 1,400 0 0 0 0 1,400
Annual Time Burden (Hours) 350 0 0 0 0 350
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$11,410
No
    Yes
    Yes
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@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.
01/04/2018


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