Request for Change of Program or Place of Training Survivors' and Dependents' Education Assistance

ICR 200005-2900-003

OMB: 2900-0099

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2900-0099 200005-2900-003
Historical Active 199708-2900-012
VA
Request for Change of Program or Place of Training Survivors' and Dependents' Education Assistance
Revision of a currently approved collection   No
Regular
Approved without change 07/14/2000
Retrieve Notice of Action (NOA) 05/19/2000
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003 10/31/2000
11,000 0 9,700
5,500 0 4,850
0 0 0

Surviving spouses, spouses, and children of veterans send VA this form to apply for a change of their program of education and/or a new place of training under 38 U.S.C. Chapter 35. VA uses the information on the form to determine the eligibility of the surviving spouse, spouse or child of a veterans for educational assistance for the new program of education or place of training.

None
None


No

1
IC Title Form No. Form Name
Request for Change of Program or Place of Training Survivors' and Dependents' Education Assistance 22-5495

  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 11,000 9,700 0 1,300 0 0
Annual Time Burden (Hours) 5,500 4,850 0 650 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.
05/19/2000


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