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 201110-2900-015 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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:

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 22-8691	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

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33,700

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	33,700	1,200	32,500
Annual IC Time Burden (Hours)	5,795	203	5,592
Annual IC Cost Burden (Dollars)	0	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.