Time Record (Work-Study Program)

ICR 200403-2900-007

OMB: 2900-0379

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
28584 Migrated
ICR Details
2900-0379 200403-2900-007
Historical Active 200302-2900-006
VA
Time Record (Work-Study Program)
Extension without change of a currently approved collection   No
Regular
Approved without change 04/06/2004
Retrieve Notice of Action (NOA) 03/19/2004
Approved for one year. VA plans to convert this form to an electronic format, in compliance with the Government Paperwork Elimination Act. Upon resubmission of this collection, VA shall demonstrate GPEA compliance.
  Inventory as of this Action Requested Previously Approved
04/30/2007 04/30/2007 04/30/2004
129,000 0 124,000
10,750 0 10,333
0 0 0

This form is used by facilities such as educational institutions, VA regional offices, medical centers, and cemeteries to verify the actual number of hours worked by a work-study claimant.

None
None


No

1
IC Title Form No. Form Name
Time Record (Work-Study Program) 22-8690

  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 129,000 124,000 0 0 5,000 0
Annual Time Burden (Hours) 10,750 10,333 0 0 417 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.
03/19/2004


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