OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (VA Form 26-4555)

ICR 201407-2900-018 · OMB 2900-0132 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
2900-0132SupportState.doc Supporting Statement A Uploaded 2014-07-30 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)) Other-Screenshots of Electronic Submission Systems Modified
ICR Details
2900-0132 201407-2900-018
Historical Inactive 201106-2900-010
VA 2900-0132
Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (VA Form 26-4555)
Revision of a currently approved collection   No
Regular
Withdrawn and continue 08/26/2014
Retrieve Notice of Action (NOA) 07/30/2014
VA has requested to withdraw this information collection request.
  Inventory as of this Action Requested Previously Approved
06/30/2015 36 Months From Approved 08/31/2015
4,158 0 4,158
693 0 693
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
2900-AO81 Proposed rulemaking 78 FR 211 10/31/2013
No
No
No
Increased outreach efforts have led to an increase in respondents.
$35,920
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.
07/30/2014