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Federal forms, ICRs, and supporting documents

Information Collection Request

ASSESSMENT OF HOME IMPROVEMENT STRUCTURAL ALTERATIONS (HISA) BENEFIT USAGE

ICR 198109-2900-002 · OMB 2900-0347 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147992 ASSESSMENT OF HOME IMPROVEMENT STRUCTURAL ALTERATIONS (HISA) BENEFIT USAGE Migrated
ICR Details
2900-0347 198109-2900-002
Historical Active
VA
ASSESSMENT OF HOME IMPROVEMENT STRUCTURAL ALTERATIONS (HISA) BENEFIT USAGE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/11/1981
Retrieve Notice of Action (NOA) 09/10/1981
This request is approved until September 30, 1982 on the condition tha questions 14,20,21,22 and 23 are removed from the survey. In addition question 19 will be revised to read " Was your application approved?" VA will provide OMB with the final printed version of the survey befor the survey is performed and the results of the survey upon completion.
  Inventory as of this Action Requested Previously Approved
09/30/1982 09/30/1982
3,750 0 0
1,250 0 0
0 0 0
SECTION 612(A) OF TITLE 38, U.S.C., ESTABLISHES THE HOME IMPROVEMENT STRUCTURAL ALTERATIONS (HISA) BENEFIT FOR BLINDED VETERANS. THIS STUD WILL EVALUATE THE BENEFITS NOW PROVIDED, EXAMINE WAYS TO IMPROVE THE ADMINISTRATION OF THE CURRENT PROGRAM AND ASCERTAIN WHY MORE ELIGIBLE BLINDED VETERANS ARE NOT USING THE BENEFIT TO MODIFY THEIR DWELLINGS.
None
None
No
1
IC Title Form No. Form Name
ASSESSMENT OF HOME IMPROVEMENT STRUCTURAL ALTERATIONS (HISA) BENEFIT USAGE
  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 3,750 0 0 3,750 0 0
Annual Time Burden (Hours) 1,250 0 0 1,250 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
09/10/1981