Information Collection

Application for Work-Study Allowance, Student Work-Study Agreement (Advance Payment), Extended Student Work-Study Agreement, Student Work-Study Agreement

IC 28453 under ICR 200811-2900-003 · OMB 2900-0209.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0209 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-8691 Application for Work-Study Allowance, Student Work-Study Agreement (Advance Payment), Extended Student Work-Study Agreement, Student Work-Study Agreement Form
VA Form 22-8691 Application For Work-Study Allowance 22-8691.pdf www.va.gov/vaforms Form
VA Form 22-8692 Student Work-Study Agreement (Advance Payment) 22-8692.pdf www.va.gov/vaforms Form
VA Form 22-8692a Extended Student Work-Study Agreement 22-8692a.pdf www.va.gov/vaforms Form
VA Form 22-8692b Student Work-Study Agreement 22-8692b.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Work-Study Allowance, Student Work-Study Agreement (Advance Payment), Extended Student Work-Study Agreement, Student Work-Study Agreement	Agency IC Tracking Number:	2900-0209

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4145

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-8691	Application For Work-Study Allowance	22-8691.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 22-8692	Student Work-Study Agreement (Advance Payment)	22-8692.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 22-8692a	Extended Student Work-Study Agreement	22-8692a.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 22-8692b	Student Work-Study Agreement	22-8692b.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	32,500	-40,500	73,000
Annual IC Time Burden (Hours)	5,592	-6,392	11,984
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.