Information Collection

Application for Individualized Tutorial Assistance

IC 28413 under ICR 202409-2900-007 · OMB 2900-0171.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-1990t Application for Individualized Tutorial Assistance	Form
Form 22-1990t Application for Individualized Tutorial Assistance Application for Individualized Tutorial Assistance	Form
22-1990t Application for Individualized Tutorial Assistance VA Form 22-1990t (OMB Exp. 12-31-24).pdf www.va.gov/vaforms	Form
22-1990t Application for Individualized Tutorial Assistance VA Form 22-1990t (OMB Exp. 12-31-24).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0171

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.3133(d) 38 CFR 21.7141 38 CFR 21.4236 38 CFR 21.5141 38 CFR 21.5072(g)

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	22-1990t			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 Vocational Rehabilitation and Employment Records

FR Citation: 89 FR 95359

Number of Respondents: 102

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	102	-5,041	5,143
Annual IC Time Burden (Hours)	51	-2,520	2,571
Annual IC Cost Burden (Dollars)	0	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.

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