Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants

VHA Readjustment Counseling Service Scholarship Program (RCSSP) - AR31

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.