Information Collection

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

IC 28135 under ICR 201708-2900-038 · OMB 2900-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 26-4555c Veteran's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)	Form
26-4555c Veteran/Servicemember's Supplemental Application for Ass VA Form 26-4555c (508 Conformant 9-19-17).pdf www.va.gov/vaforms	Form

IC Title:

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

Agency IC Tracking Number:

2900-0031 VBA-LGY-YM

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 36.4402(a) 38 CFR 36.4405 38 CFR 36.4404(a)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	26-4555c	Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing	VA Form 26-4555c (508 Conformant 9-19-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,400	1,400
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.