SELRP - Participant Agreement

Specialty Education Loan Repayment Program (SELRP) Forms [AQ63]

OMB: 2900-0879

IC ID: 241717

Information Collection (IC) Details

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SELRP - Participant Agreement 2900-NEW
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 17

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 10-255e Specialty Education Loan Repayment Program (SELRP) - Participant Agreement VA Form 10-255e_SELRP Participant Agreement.pdf Yes No Fillable Printable

Health Health Care Services

 

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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