OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Veterans Application for Assistance in Acquiring Special Housing Adaptations

ICR 199501-2900-002 · OMB 2900-0300 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147895 Veterans Application for Assistance in Acquiring Special Housing Adaptations Form Migrated
ICR Details
2900-0300 199501-2900-002
Historical Active 199112-2900-001
VA
Veterans Application for Assistance in Acquiring Special Housing Adaptations
Extension without change of a currently approved collection   No
Regular
Approved without change 04/24/1995
Retrieve Notice of Action (NOA) 01/25/1995
  Inventory as of this Action Requested Previously Approved
05/31/1998 05/31/1998 04/30/1995
75 0 0
25 0 25
0 0 0
Completed by blinded veterans, or veteran who have lost, or lost the use of both hands, in applying for benefits of up to $6,500 as authorized by 38 U.S.C. 2101(b) for acquiring adaptations to veterans' homes.
None
None
No
1
IC Title Form No. Form Name
Veterans Application for Assistance in Acquiring Special Housing Adaptations VA/26-4555D
  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 75 0 0 75 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
01/25/1995