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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)
OMB: 2900-0031
IC ID: 28135
OMB.report
VA
OMB 2900-0031
ICR 201708-2900-038
IC 28135
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0031 can be found here:
2023-09-28 - Extension without change of a currently approved collection
2020-12-09 - Extension without change of a currently approved collection
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 (508 Conformant 9-19-17).pdf
www.va.gov/vaforms
Form
Information Collection (IC) Details
View Information Collection (IC)
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 36.4402(a)
38 CFR 36.4405
38 CFR 36.4404(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 (508 Conformant 9-19-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,400
0
0
0
1,400
0
Annual IC Time Burden (Hours)
350
0
0
0
350
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.