Information Collection

Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants

IC 250254 under ICR 202107-2900-003 · OMB 2900-0899.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0899 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-264 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
10-264 Academic Verification VA Form 10-264.pdf	Form and Instruction
10-264 Academic Verification VA Form 10-264.pdf	Form and Instruction
10-264A Addendum to Application VA Form 10-264A.pdf	Form and Instruction
10-264A Addendum to Application VA Form 10-264A.pdf	Form and Instruction
10-264E Evaluation and Recommendation VA Form 10-264E.pdf	Form and Instruction
10-264E Evaluation and Recommendation VA Form 10-264E.pdf	Form and Instruction
10-264G Application VA Form 10-264G.pdf	Form and Instruction
10-264G Application VA Form 10-264G.pdf	Form and Instruction

IC Title:

Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants

Agency IC Tracking Number:

2900-NEW

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-264	Academic Verification	VA Form 10-264.pdf	Yes	No	Fillable Printable
Form and Instruction	10-264A	Addendum to Application	VA Form 10-264A.pdf	Yes	No	Fillable Printable
Form and Instruction	10-264E	Evaluation and Recommendation	VA Form 10-264E.pdf	Yes	No	Fillable Printable
Form and Instruction	10-264G	Application	VA Form 10-264G.pdf	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	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.