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

Information Collection (IC) Details

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VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr
 
No Modified
 
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 and Instruction VA Form 10-0491g HPSP/VIOMPSP Application vha-10-0491g-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491h HPSP/VIOMPSP Notice of Approaching Graduation vha-10-0491h-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491d HPSP/VIOMPSP Education Program Completion Notice_Service Obligation Placement vha-10-0491d-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491a HPSP/VIOMPSP Addendum to Application vha-10-0491a-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491c HPSP/VIOMPSP Annual VA employment deferment Verification vha-10-0491c-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491j HPSP/VIOMPSP Request for Deferment for Advanced Education vha-10-0491j-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491k HPSP/VIOMPSP VA Scholarship Offer Response vha-10-0491k-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491L VIOMPSP Agreement vha-10-0491L-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA form 10-0491 HPSP/VIOMPSP Academic Verification vha-10-0491-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491f HPSP Agreement vha-10-0491f-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491i HPSP/VIOMPSP Notice of Change and/or Annual Academic Status Report vha-10-0491i-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable
Form VA Form 10-0491e HPSP/VIOMPSP Evaluation Recommendation Form vha-10-0491e-fill.pdf http://vaww.va.gov/vaforms/ Yes No Fillable Printable

Health Health Care Services

 

6,500 0
   
Individuals or Households
 
   0 %

  Approved 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 0 0 0 6,500
Annual IC Time Burden (Hours) 24,342 0 0 -8,347 0 32,689
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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