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

Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant

OMB: 2900-0132

IC ID: 28354

Information Collection (IC) Details

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Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a) or 2101(b)) 2900-0132
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 1.576 38 CFR 3.809

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
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)) 26-4555.pdf http://www.va.gov/vaforms/ Yes No Fillable Printable
Other-Screenshots of Electronic Submission Systems VIP4555.pdf https://vip.vba.va.gov/portal/VBAH/Home Yes Yes Fillable Fileable
Other-Screen shots EB4555.pdf https://www.ebenefits.va.gov Yes Yes Fillable Fileable

General Government Legislative Functions

 

4,158 0
   
Individuals or Households
 
   7 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,158 0 0 1,158 0 3,000
Annual IC Time Burden (Hours) 693 0 0 193 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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