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

⚠️ Notice: This information collection may be referencing outdated material.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 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
VIP4555.pdf vip.vba.va.gov/portal/VBAH/Home Other-Screenshots of Electronic Subm
EB4555.pdf www.ebenefits.va.gov Other-Screen shots
26-4555 Application in Acquiring Specially Adapted Housing or Sp 26-4555.pdf www.va.gov/vaforms/ Form

Information Collection (IC) Details

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 VBA-LGY-NK

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 38 CFR 1.576 38 CFR 3.809

Information Collection Instruments:

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

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: 77 FR 42593

Number of Respondents: 4,158	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 7 %

	Requested	Previously Approved
Annual Number of Responses for this IC	4,158	4,158
Annual IC Time Burden (Hours)	693	693
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.