VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr

VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs

OMB: 2900-0793

IC ID: 204870

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Information Collection (IC) Details

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VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr
 
No New
 
Required to Obtain or Retain Benefits
 
38 CFR Part 17  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA form 10-0491 HPSP/VIOMPSP Academic Verification 10-0491_Academic Verification.PDF To be determined Yes No Fillable Printable
Form VA Form 10-0491a HPSP/VIOMPSP Addendum to Application 10-0491a_Addendum to Application.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491c HPSP/VIOMPSP Annual VA employment deferment Verification 10-0491c_Annual VA Employment_Deferment Verification.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491d HPSP/VIOMPSP Education Program Completion Notice_Service Obligation Placement 10-0491d_Education Program Completion Notice_Service Obligation Placement.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491e HPSP/VIOMPSP Evaluation Recommendation Form 10-0491e_Evaluation_Recommendation Form.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491f HPSP Agreement 10-0491f_HPSP Agreement.revised.pdf TBD Yes No Fillable Printable
Form and Instruction VA Form 10-0491g HPSP/VIOMPSP Application 10-0491g_HPSP_VIOMPSP Application.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491h HPSP/VIOMPSP Notice of Approaching Graduation 10-0491h_Notice of Approaching Graduation.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491i HPSP/VIOMPSP Notice of Change and/or Annual Academic Status Report 10-0491i_Notice of Change_Annual Academic Status Report.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491j HPSP/VIOMPSP Request for Deferment for Advanced Education 10-0491j_Request for Deferment for Advanced Education.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491k HPSP/VIOMPSP VA Scholarship Offer Response 10-0491k_VA Scholarship Offer Response.pdf TBD Yes No Fillable Printable
Form VA Form 10-0491L VIOMPSP Agreement 10-0491L_VIOMPSP Agreement.pdf TBD Yes No Fillable Printable

Health Health Care Services

 

6,500 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,500 0 6,500 0 0 0
Annual IC Time Burden (Hours) 32,689 0 32,689 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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