Information Collection

Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a) or 2101(b))

IC 28354 under ICR 202202-2900-003 · OMB 2900-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0132 can be found here:

Documents and Forms

Document Name Document Type
Form VA 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
Screenshot - VA 26-4555 Electronic Application Update.pdf Other-Electronic Application
Screenshot - VA 26-4555 Electronic Application for Update in SAHSHA.pdf Other-Electronic Application
VA Form 26-4555 Application in Acquiring Specially Adapted Housing or Sp VA Form 26-4555 (OMB Expiring 9-30-21).pdf www.va.gov/vaforms Form
VA Form 26-4555 Application in Acquiring Specially Adapted Housing or Sp VA Form 26-4555 (OMB Expiring 9-30-21).pdf www.va.gov/vaforms Form
VA 26-4555 VETERAN'S APPLICATION IN ACQUIRING SPECIALLY ADAPTED HOU New Electronic VA 26-4555 for Business Platform(SQB version) FO Review.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a) or 2101(b))	Agency IC Tracking Number:	2900-0132

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.809 38 CFR 1.576

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 26-4555	Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant	VA Form 26-4555 (OMB Expiring 9-30-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form and Instruction	VA 26-4555	VETERAN'S APPLICATION IN ACQUIRING SPECIALLY ADAPTED HOUSING OR SPECIAL HOME ADAPTATION GRANT	New Electronic VA 26-4555 for Business Platform(SQB version) FO Review.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: Loan Guaranty Home, Condominium and Manufactured Home Loan Applicant Records, Specially Adapted Housing Applicant Records, and Vendee Loan Applicant Records - VA (55VA26)	FR Citation: 79 FR 3922

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.