Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses (VA Form 26-1817)

Forms and Documents

Document Name	Status
Form VA Form 26-1817 Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses Form	Modified
2019-13428.pdf Supplementary Document	2019-06-25
SupportingState(2900-0055) (1) (1).rtf Supporting Statement A	2019-06-19
2019-07730.pdf Supplementary Document	2019-04-19

IC Document Collections

IC ID	Document Title	Status
28187	Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses Form	Modified

ICR Details

OMB Control No: 2900-0055	ICR Reference No: 201903-2900-017
Status: Active	Previous ICR Reference No: 201603-2900-008
Agency/Subagency: VA	Agency Tracking No: VBA-LGY-NK
Title: Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses (VA Form 26-1817)
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: 12/19/2019
	Date Received in OIRA: 07/31/2019
Terms of Clearance: In its next revision or extension request for this collection, VA shall modify "Your obligation to respond is required" to "Your obligation to respond is required" in the Privacy Act statement and shall consult the VA Privacy Office on whether the routine uses listed in the Privacy Act statement satisfy the requirements of 5 USC 552a(e)(3)(C). VA shall also provide one or more citations for the statement, "Federal statutes provide severe penalties for fraud, intentional misrepresentation or criminal connivance or conspiracy to influence the issuance of my guaranty or insurance or the granting of any loan by the Department of Veterans Affairs."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	12/31/2019
Responses	5,000	0	5,000
Time Burden (Hours)	833	0	833
Cost Burden (Dollars)	0	0	0

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Abstract: The VA Form 26-1817 is submitted by an unmarried surviving spouse of a veteran whose death was service-connected for determination of eligibility for VA home loan benefits as authorized by 38 U.S.C. 3701(b)(2). Serves to record application and internal VA processing of request including verification on veterans service-connected death and status of applicant as unmarried surviving spouse.

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Authorizing Statute(s): US Code: 38 USC 3702 Name of Law: Basic entitlement
   US Code: 38 USC 3701 Name of Law: Definitions
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 7730	04/18/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 13428	06/25/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses	VA Form 26-1817	Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouse

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,000	5,000	0	0	0	0
Annual Time Burden (Hours)	833	833	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $36,025

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? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/31/2019

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