OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant

ICR 200809-2900-004 · OMB 2900-0132 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 26-4555 Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a) or 2101(b)) Form Modified Repair queued
OMB26-4555(1-6-09).doc Supporting Statement A Uploaded 2009-01-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28354 Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a) or 2101(b)) Form Modified
ICR Details
2900-0132 200809-2900-004
Historical Active 200512-2900-004
VA 2900-0132
Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant
Extension without change of a currently approved collection   No
Regular
Approved without change 03/10/2009
Retrieve Notice of Action (NOA) 01/07/2009
  Inventory as of this Action Requested Previously Approved
03/31/2012 36 Months From Approved 03/31/2009
3,000 0 3,000
500 0 500
0 0 0
VA form is used to gather information necessary to determine the eligibility for the veteran or servicemember for specially adapted housing or for a special home adaptation grant.
US Code: 38 USC 2101 Name of Law: Veterans Eligible For Assistance
  
None
Not associated with rulemaking
  73 FR 193 10/03/2008
73 FR 241 12/15/2008
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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 500 500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$12,694
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
01/07/2009