Information Collection

Conflicting Interests Certification for Proprietary Schools

IC 28934 under ICR 200810-2900-012 · OMB 2900-0657.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0657 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 22-1919(ol Conflicting Interests Certification for Proprietary Schools	Form
VA Form 22-1919(ol Conflicting Interests Certification For Proprietary Scho 22-1919(10-07).pdf www.va.gov/vaforms	Form
VA Form 22-1919(ne Conflicting Interests Certification for Proprietary Scho 22-1919.pdf www.va.gov/vaforms	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Conflicting Interests Certification for Proprietary Schools

Agency IC Tracking Number:

2900-0657

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 5200(c) 38 CFR 21.7622(f)(4)(iv) 38 CFR 21.4200(z) 38 CFR 21.7122(e)(6) 38 CFR 21.4202(c) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-1919(old form)	Conflicting Interests Certification For Proprietary Schools	22-1919(10-07).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 22-1919(new form)	Conflicting Interests Certification for Proprietary Schools	22-1919.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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