Title 38 Positions - Applications and Appraisals for Employment - VA Forms 10-2850, 10-2850a, 10-2850c, 10-341(a)
Extension without change of a currently approved collection
Yes
Regular
Withdrawn and continue
08/04/2021
11/20/2020
Withdrawn while the Program continues to work on revisions.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
10/31/2022
36 Months From Approved
05/31/2023
121,000
0
121,000
60,500
0
60,500
0
0
0
The collection of this information is authorized by Title 38, United States Code (U.S.C.) 7403, (Veteransâ Benefits), which provides that appointments of Title 38 employees will be made only after qualifications have been satisfactorily verified in accordance with regulations prescribed by the Secretary. Occupations listed in 38 U.S.C. 7401(1) and 7401(3) (Appointments in Veterans Health Administration), are appointed at a grade and step rate or an assignment based on careful evaluation of their education and experience.
VA Forms 10-2850, 10-2850a and 10-2850c are applications designed specifically to elicit appropriate information about each candidate's qualifications for employment with Department of Veterans Affairs (VA) as well as educational and experience. To assure that a full evaluation of each candidate's credentials can be made prior to employment, the forms require disclosure of details about all licenses ever held, Drug Enforcement Administration certification, board certification, clinical privileges, revoked certification or registration, liability insurance history, and involvement in malpractice proceedings.
VA Form Letter 10-341a is the pre-employment reference form used to elicit information concerning the prior education and/or performance of the Title 38 applicant. Information provided is used to determine eligibility for employment and the appropriate grade and step rate or assignment.
US Code:
38 USC 7401 (1),(3)
Name of Law: Appointments in Veterans Health Administration
US Code:
38 USC 7403
Name of Law: Veterans Benefits - Period of appointments; promotions
US Code:
38 USC 7302 - Part V, Chapter 73
Name of Law: Healthcare Personnel Education and Training Program
VA increased the number of anticipated respondents for each form due to projected increases in Title 38 program applications since the last PRA clearance.
Note that VA Form 10-2850D is part of the collection under 2900-0205, but OMB issued a separate NOA on October 10, 2019, due to necessary expedited review in conjunction with a new VA regulation. Therefore, the burden for VA Form 10-2850D is not included in this request for a renewal 3-year PRA clearance for the remaining forms in 2900-0205.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Appraisal of Applicant