Information Collection

Application for Individualized Tutorial Assistance

IC 28413 under ICR 201809-2900-008 · OMB 2900-0171.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0171 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-1990t Application for Individualized Tutorial Assistance	Form
22-1990t Application for Individualized Tutorial Assistance Form 22-1990t (7-20-17) 2900-0171.pdf www.va.gov/vaforms	Form

IC Title:

Application for Individualized Tutorial Assistance

Agency IC Tracking Number:

2900-0171

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4236 38 CFR 21.5072(g) 38 CFR 21.5141 38 CFR 21.3133(d) 38 CFR 21.7141

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	22-1990t	Application for Individualized Tutorial Assistance	Form 22-1990t (7-20-17) 2900-0171.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records

FR Citation: 83 FR 2075

Number of Respondents: 359

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	718	18	700
Annual IC Time Burden (Hours)	359	9	350
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.