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

OMB 2900-0031

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.

The latest form for Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (VA Form 26-4555c) expires 2024-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 26-4555c Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c) Form
2023-21210 (1).pdf Supplementary Document
SupportStatement(2900-0031).docx Supporting Statement A
Federal Register 2900-0031.pdf Supplementary Document
Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c) Form

All Historical Document Collections

202307-2900-008 Approved with change	Extension without change of a currently approved collection	2023-09-28
202008-2900-003	Extension without change of a currently approved collection	2020-12-09
201708-2900-038 Approved without change	Reinstatement without change of a previously approved collection	2018-01-04
201404-2900-003 Approved with change	Revision of a currently approved collection	2014-09-25
201103-2900-016 Approved without change	Extension without change of a currently approved collection	2011-08-26
200801-2900-014 Approved without change	Revision of a currently approved collection	2008-05-23
200509-2900-003 Approved without change	Extension without change of a currently approved collection	2005-09-12
200207-2900-009 Approved without change	Extension without change of a currently approved collection	2002-07-23
199911-2900-003 Approved without change	Reinstatement without change of a previously approved collection	1999-11-03
199607-2900-001 Approved without change	Extension without change of a currently approved collection	1996-07-09
199508-2900-001 Approved without change	Revision of a currently approved collection	1995-08-03
199207-2900-002 Approved without change	Revision of a currently approved collection	1992-07-07
198910-2900-001 Approved without change	Reinstatement with change of a previously approved collection	1989-10-13
198608-2900-003 Approved without change	Revision of a currently approved collection	1986-08-04
198309-2900-003 Approved without change	Revision of a currently approved collection	1983-09-16
198011-2900-024 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-11-06
197809-2900-010 Approved without change	Revision of a currently approved collection	1978-09-12
197702-2900-006 Approved without change	Revision of a currently approved collection	1977-02-10
197701-2900-082 Approved with change	No material or nonsubstantive change to a currently approved collection	1977-01-24