Employment Certification Form

EMPLOYMENT CERTIFICATION FORM (VA Form 22-10201)

OMB: 2900-0874

IC ID: 235408

Information Collection (IC) Details

View Information Collection (IC)

Employment Certification Form 2900-0874
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 22-10201 Employment Certification Form 22-10201(5-5-21).pdf www.va.gov/vaforms Yes No Fillable Printable

Education Elementary, Secondary, and Vocational Education

 

750 0
   
Individuals or Households
 
   100 %

  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 562,500 0 0 0 0 562,500
Annual IC Time Burden (Hours) 46,875 0 0 0 0 46,875
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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