OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)

ICR 201404-2900-003 · OMB 2900-0031 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 26-4555C Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c) Form Modified Available
30-Day FRN - 2900-0031 (2014).pdf Supplementary Document Uploaded 2014-09-10 Available
60-Day FRN - 2900-0031 (2014).pdf Supplementary Document Uploaded 2014-07-29 Available
Supporting Statement for 2900-0031 - VAF 26-4555c (7-29-14).doc Supporting Statement A Uploaded 2014-07-29 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28135 Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c) Form Modified
ICR Details
2900-0031 201404-2900-003
Historical Active 201103-2900-016
VA 2900-0031 VBA-LGY-YM
Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)
Revision of a currently approved collection   No
Regular
Approved with change 11/24/2014
Retrieve Notice of Action (NOA) 09/25/2014
  Inventory as of this Action Requested Previously Approved
11/30/2017 36 Months From Approved 01/31/2015
1,400 0 1,400
350 0 350
0 0 0
Form serves as application for specially adapted housing grant as authorized by 38 U.S.C. 2101(a). Application forms the basis for determination on suitability of the modifications or construction as required by 38 U.S.C. 2101(a) and decision on grant limitations.
US Code: 38 USC 2101(a) Name of Law: Veterans eligible for assistance
   PL: Pub.L. 109 - 233 101 Name of Law: Veterans Housing Opportunity and Benefits Act of 2006
  
None
Not associated with rulemaking
  79 FR 104 05/30/2014
79 FR 167 08/28/2014
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 1,400 1,400 0 0 0 0
Annual Time Burden (Hours) 350 350 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$12,698
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.
09/25/2014