Information Collection

Application for Educational Assistance to Supplement Tuition Assistance; 38 CFR 21.1030(c) and 21.7140(c)(5)

IC 179087 under ICR 201603-2900-011 · OMB 2900-0698.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Screen Shoot of Instrument.docx	Other-AF Tuition Assistance
AF Form 1257 AUTHORITY FOR TUITION ASSISTANCE - EDUCATION SERVICES PR Screen Shoot of Instrument.pdf www.dodmou.com/Documents/DODI132225%20July%207,%202014.pdf	Form
22-1990 APPLICATION FOR VA EDUCATION BENEFITS 1990 2016.pdf www.va.gov/vaforms/search_action.asp?FormNo=1990&tkey=&Action=Search	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.7140(c)(5) 38 CFR 21.1030(c)

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
Other-AF Tuition Assistance			Screen Shoot of Instrument.docx		No		Paper Only
Form	AF Form 1257	AUTHORITY FOR TUITION ASSISTANCE - EDUCATION SERVICES PROGRAM	Screen Shoot of Instrument.pdf	https://www.dodmou.com/Documents/DODI132225%20July%207,%202014.pdf	No		Paper Only
Form	22-1990	APPLICATION FOR VA EDUCATION BENEFITS	1990 2016.pdf	https://www.va.gov/vaforms/search_action.asp?FormNo=1990&tkey=&Action=Search	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,000

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8,000	-2,000	10,000
Annual IC Time Burden (Hours)	1,600	-400	2,000
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.