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Federal forms, ICRs, and supporting documents

Information Collection Request

Veterans Application for Assistance in Acquiring Special Housing Adaptations

ICR 201301-2900-005 · OMB 2900-0300 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 26-4555d Veterans Application for Assistance in Acquiring Special Housing Adaptations Form Modified Available
2900-0300 Ch08.doc Supplementary Document Uploaded 2010-07-07 Available
2900-0300 VAF 26-4555D(CRrev 051113) (3).docx Supporting Statement A Uploaded 2013-07-01 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28521 Veterans Application for Assistance in Acquiring Special Housing Adaptations Form Modified
ICR Details
2900-0300 201301-2900-005
Historical Active 201003-2900-008
VA 2900-0300 VBA-LGY-YM
Veterans Application for Assistance in Acquiring Special Housing Adaptations
Revision of a currently approved collection   No
Regular
Approved without change 09/06/2013
Retrieve Notice of Action (NOA) 07/09/2013
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 09/30/2013
100 0 75
33 0 25
0 0 0
This form is completed on behalf of Veterans who are blind, or Veterans who have lost or lost the use of both hands, in applying for benefits as authorized by 38 U.S.C 2101(b) for acquiring adaptations to Veterans' homes.
US Code: 38 USC 2101 Name of Law: Veterans eligible for assistance
  
None
Not associated with rulemaking
  78 FR 30 02/13/2013
78 FR 129 07/05/2013
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 100 75 0 25 0 0
Annual Time Burden (Hours) 33 25 0 8 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Increase in burden hours due to the rise in the number of Veterans applying for specially adapted housing grants.
$908
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [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.
07/09/2013