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 202008-2900-003 · OMB 2900-0031 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 26-4555c Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c) Form Modified Repair queued
Supporting Statement (2900-0031)- VA Form 26-4555cv3.docx Supporting Statement A Uploaded 2020-12-08 Repair queued
30-Day FRN - 2900-0031 (2020).pdf Supplementary Document Uploaded 2020-12-08 Missing upstream
60-Day FRN - 2900-0031 (2020).pdf Supplementary Document Uploaded 2020-09-09 Repair queued
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 202008-2900-003
Received in OIRA 201708-2900-038
VA VBA-LGY-YA
Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)
Extension without change of a currently approved collection   No
Regular 12/09/2020
  Requested Previously Approved
36 Months From Approved 03/31/2021
1,400 1,400
350 350
0 0
VA Form 26-4555c 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
  85 FR 55581 09/08/2020
85 FR 78936 12/07/2020
No
  Total Request 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
$14,434
No
    Yes
    Yes
No
No
No
No
Danny Green 202 421-1354 [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.
12/09/2020