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 202509-2900-004 · OMB 2900-0132.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 26-4555 Veteran's Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a) or 2101(b))	Form
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)) Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (Title 38 U.S.C. Section 2101(a) or 2101(b))	Form
Builder and Veteran Verification Documents.docx	Other-Verification Documents
VA Form 26-4555 Veteran's Application in Acquiring Specially Adapted Hou Electronic 26-4555 Application (09_09_2025) Added New PRA Statement Format.pdf	Form
26-4555 Application in Acquiring Specially Adapted Housing or Sp 2900-0132.pdf WWW.VA.GOV/FORMS	Form

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:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Verification Documents			No		Paper Only
Form	VA Form 26-4555		Yes	Yes	Fillable Printable
Form	26-4555	WWW.VA.GOV/FORMS	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

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: 84 FR 4138

Number of Respondents: 11,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,200	4,200	7,000
Annual IC Time Burden (Hours)	4,293	3,126	1,167
Annual IC Cost Burden (Dollars)	0	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.

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