Application and Enrollment Certification for Individualized Tutorial Assistance

ICR 199708-2900-013

OMB: 2900-0171

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
2900-0171 199708-2900-013
Historical Active 199401-2900-002
VA
Application and Enrollment Certification for Individualized Tutorial Assistance
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 10/21/1997
Retrieve Notice of Action (NOA) 08/22/1997
Approved for use through 10/2000 under the condition that the VA immediately incorporates into the forms/instructions the new disclosure statements mandated by the Paperwork Reduction Act of 1995. For the public record, the VA must submit to OMB the revised forms/instructions.
  Inventory as of this Action Requested Previously Approved
10/31/2000 10/31/2000
4,000 0 0
2,000 0 0
0 0 0

This form is used by students who are receiving VA educational assistance and who require tutoring to overcome a deficiency in one or more courses. The application information from the claimant must be certified by the tutor and the educational institution.

None
None


No

1
IC Title Form No. Form Name
Application and Enrollment Certification for Individualized Tutorial Assistance VA-22-1990T

  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 4,000 0 0 4,000 0 0
Annual Time Burden (Hours) 2,000 0 0 2,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
08/22/1997


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