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Federal forms, ICRs, and supporting documents

Information Collection Request

Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant

ICR 201106-2900-010 · 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 Available
2900-0132 justification.docx Supporting Statement A Uploaded 2012-03-07 Repair queued
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 201106-2900-010
Historical Active 200809-2900-004
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 06/19/2012
Retrieve Notice of Action (NOA) 03/08/2012
  Inventory as of this Action Requested Previously Approved
06/30/2015 36 Months From Approved 06/30/2012
4,158 0 3,000
693 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
  76 FR 197 10/12/2011
77 FR 2 01/04/2012
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 4,158 3,000 0 0 1,158 0
Annual Time Burden (Hours) 693 500 0 0 193 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The increase in burden hours is due to the rise in the number of respondents for SAH or SHA grants from 3,000 to 4,158 annually.
$18,877
No
No
No
No
No
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.
03/08/2012