Information Collection

Application for Educational Assistance to Supplement Tuition Assistance; 38 CFR 21.1030(c), 21.7104(c)(5)

IC 178399 under ICR 200701-2900-011 · OMB unassigned.

Documents and Forms

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Document Name	Document Type

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IC Title:

Application for Educational Assistance to Supplement Tuition Assistance; 38 CFR 21.1030(c), 21.7104(c)(5)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.1030(c) 39 CFR 21.7140(c)(5)

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15,000	15,000	0
Annual IC Time Burden (Hours)	3,000	0	3,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.