REQUEST FOR CHANGE OF PROGRAM OR PLACE OF TRAINING (SPOUSE OR SURVIVING SPOUSE)

ICR 197802-2900-005

OMB: 2900-0170

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0170 197802-2900-005
Historical Active 197512-2900-008
VA
REQUEST FOR CHANGE OF PROGRAM OR PLACE OF TRAINING (SPOUSE OR SURVIVING SPOUSE)
Revision of a currently approved collection   No
Regular
Approved without change 03/06/1978
Retrieve Notice of Action (NOA) 02/14/1978
  Inventory as of this Action Requested Previously Approved
02/28/1983 02/28/1983 11/30/1980
2,000 0 2,000
1,000 0 1,000
0 0 0

NO BENEFITS MAY BE PAID UNLESS A COMPLETED APPLICATION FORM HAS BEEN RECEIVED (38 U.S.C. 1671). THE INFORMATION REQUESTED ON THE FORM IS USED TO DETERMINE ELIGIBILITY OF A VETERAN'S SPOUSE OR SURVIVING SPOUSE TO EDUCATIONAL BENEFITS WHEN A CHANGE OF PROGRAM OR PLACE OF TRAINING IS INVOLVED.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR CHANGE OF PROGRAM OR PLACE OF TRAINING (SPOUSE OR SURVIVING SPOUSE) 22-5495W

  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 1,000 1,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/14/1978


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