Information Collection

Edith Nourse Rogers STEM Scholarship Application

IC 237068 under ICR 202301-2900-012 · OMB 2900-0878.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0878 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-10203 Edith Nourse Rogers STEM Scholarship Application	Form
22-10203 Edith Nourse Rogers STEM Scholarship Application VA Form 22-10203 (2-6-23).pdf www.va.gov/vaforms	Form
22-10203 Edith Nourse Rogers STEM Scholarship Application VA Form 22-10203 (2-6-23).pdf www.va.gov/vaforms	Form
22-10203-RogersSTEMScholarship-OMB-20200604 (002).pdf Digital Version	IC Document
22-10203-RogersSTEMScholarship-OMB-20200604 (002).pdf Digital Version	IC Document

IC Title:

Edith Nourse Rogers STEM Scholarship Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-10203	Edith Nourse Rogers STEM Scholarship Application	VA Form 22-10203 (2-6-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: 58VA21/22/28, Compensation, Pension, Education and Veteran Readiness and Employment Records - VA

FR Citation: 84 FR 4138

Number of Respondents: 16,752

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	16,752	16,002	750
Annual IC Time Burden (Hours)	4,188	-31,812	36,000
Annual IC Cost Burden (Dollars)	124,635	124,635	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Digital Version	22-10203-RogersSTEMScholarship-OMB-20200604 (002).pdf	06/09/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.