View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2900-0031	ICR Reference No: 202008-2900-003
Status: Historical Active	Previous ICR Reference No: 201708-2900-038
Agency/Subagency: VA	Agency Tracking No: VBA-LGY-YA
Title: Veteran/Servicemember's Supplemental Application for Assistance in Acquiring Specially Adapted Housing (26-4555c)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/19/2021
	Date Received in OIRA: 12/09/2020
Terms of Clearance: In the next extension, revision, or reinstatement request, VA shall modify "Your obligation to response is required in order to obtain or retain benefits." to "Your response is required in order to obtain or retain benefits." In addition, VA shall also be prepared to help OMB to understand VA's views on the application of the applicable civil rights requirement and certification to owner-occupied rentals that are generally not covered by the Fair Housing Act.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2024	36 Months From Approved	03/31/2021
Responses	1,400	0	1,400
Time Burden (Hours)	350	0	350
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $14,434

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Danny Green 202 421-1354 danny.green2@va.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.