Information Collection

Monthly Certification of On-The-Job and Apprenticeship Training

IC 28420 under ICR 202409-2900-011 · OMB 2900-0178.

Documents and Forms

Document Name Document Type
Form 22-6553d-1 Monthly Certification of On-The-Job and Apprenticeship Training Form
22-6553d-1 Monthly Certification of On-The-Job and Apprenticeship T VA Form 22-6553d-1 (OMB Exp. 12-31-24).pdf www.va.gov/vaforms Form
22-6553d-1 Monthly Certification of On-The-Job and Apprenticeship T VA Form 22-6553d-1 (OMB Exp. 12-31-24).pdf www.va.gov/vaforms Form
22-6553d Monthly Certification of On-The-Job and Apprenticeship T VA Form 22-6553d (OMB Exp. 12-31-24).pdf Form
22-6553d Monthly Certification of On-The-Job and Apprenticeship T VA Form 22-6553d (OMB Exp. 12-31-24).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Monthly Certification of On-The-Job and Apprenticeship Training	Agency IC Tracking Number:	2900-0178

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.3132(c) 38 CFR 21.5130 38 CFR 21.7639(f) 38 CFR 21.7139(g) 38 CFR 21.4262 38 CFR 21.3131(a) 38 CFR 21.5138 38 CFR 21.4135(e)(3)(iii) 38 CFR 214023(f)(3) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-6553d-1	Monthly Certification of On-The-Job and Apprenticeship Training	VA Form 22-6553d-1 (OMB Exp. 12-31-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	22-6553d	Monthly Certification of On-The-Job and Apprenticeship Training	VA Form 22-6553d (OMB Exp. 12-31-24).pdf		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: System of Records, Compensation, Pension, Education and Veteran Readiness and Employment Records â VA (58VA21/22/28),	FR Citation: 84 FR 4138

Number of Respondents: 19,670	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	19,670	-87,727	107,397
Annual IC Time Burden (Hours)	39,340	-175,454	214,794
Annual IC Cost Burden (Dollars)	0	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.