Information Collection

Monthly Certification of On-The-Job and Apprenticeship Training

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

Documents and Forms

Documents and forms in this information collection
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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-6553d-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

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	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

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.