Information Collection

Application for Voluntary Service

IC 28247 under ICR 200905-2900-002 · OMB 2900-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0090 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10-7055 Application for Voluntary Service	Form
VA Form 10-7055 Application for Voluntary Service VHA-10-7055-fill.pdf www.va.gov/vaforms/	Form

IC Title:

Application for Voluntary Service

Agency IC Tracking Number:

2900-0090

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 10-7055	Application for Voluntary Service	VHA-10-7055-fill.pdf	http://www.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	32,000	32,000
Annual IC Time Burden (Hours)	8,000	8,000
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.