OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202307-2900-008 · OMB 2900-0031 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 26-4555c Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c) Form Modified Repair queued
2023-21210 (1).pdf Supplementary Document Uploaded 2023-09-28 Repair queued
SupportStatement(2900-0031).docx Supporting Statement A Uploaded 2023-09-28 Missing upstream
Federal Register 2900-0031.pdf Supplementary Document Uploaded 2023-07-25 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 202307-2900-008
Received in OIRA 202008-2900-003
VA VBA-LGY-NK
Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (VA Form 26-4555c)
Extension without change of a currently approved collection   No
Regular 09/28/2023
  Requested Previously Approved
36 Months From Approved 01/31/2024
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
  88 FR 15682 07/25/2023
88 FR 21210 09/28/2023
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
$15,498
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [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.
09/28/2023