Information Collection

Request for Approval of School Attendance (VA Form 21-674 and VA Form 21-674c) School Attendance Report (VA Form 21-674b)

IC 28176 under ICR 201712-2900-001 · OMB 2900-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0049 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21-674 Request for Approval of School Attendance (VA Form 21-674 and VA Form 21-674c) School Attendance Report (VA Form 21-674b)	Form
21-674 Request for Approval of School Attendance VA Form 21-674 (8-6-14).pdf www.va.gov/vaforms/	Form
21-674b School Attendance Report VA Form 21-674b (8-6-14).pdf www.va.gov/vaforms/	Form
21-674c Request for Approval of School Attendance VA Form 21-674c (8-26-14).pdf	Form

IC Title:

Request for Approval of School Attendance (VA Form 21-674 and VA Form 21-674c) School Attendance Report (VA Form 21-674b)

Agency IC Tracking Number:

2900-0049

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.277 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	21-674	Request for Approval of School Attendance	VA Form 21-674 (8-6-14).pdf	www.va.gov/vaforms/	Yes	No	Fillable Printable
Form	21-674b	School Attendance Report	VA Form 21-674b (8-6-14).pdf	www.va.gov/vaforms/	Yes	No	Fillable Printable
Form	21-674c	Request for Approval of School Attendance	VA Form 21-674c (8-26-14).pdf		No		Printable Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 177,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	177,500	0	0	177,500
Annual IC Time Burden (Hours)	37,792	0	0	37,792
Annual IC Cost Burden (Dollars)	907,008	-901,717	901,717	907,008

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.