Information Collection

Certification of School Attendance or Termination

IC 28649 under ICR 201103-2900-005 · OMB 2900-0458.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0458 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21-8960 Certification of School Attendance or Termination	Form
VA Form 21-8960 Certification of School Attendance or Termination 21-8960.pdf	Form
VA Form 21-8960-1 Certification of School Attendance or Termination 21-8960-1-ARE.pdf www.va.gov/vaforms	Form

IC Title:

Certification of School Attendance or Termination

Agency IC Tracking Number:

2900-0458

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.667

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 21-8960	Certification of School Attendance or Termination	21-8960.pdf		Yes	No	Paper Only
Form	VA Form 21-8960-1	Certification of School Attendance or Termination	21-8960-1-ARE.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: 70,000

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	70,000	70,000
Annual IC Time Burden (Hours)	11,667	11,667
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.