Information Collection

Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants

IC 250256 under ICR 202508-2900-009 · OMB 2900-0899.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 19-264D Education Program Completion Notice Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264F Scholarship Agreement Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264H Notice of Approaching Graduation Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264I Notice of Change and-or Academic Status Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264J Request for Deferment Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264K Scholarship Offer Response Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264M Mobility Agreement Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 19-264D Education Program Completion Notice Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264F Scholarship Agreement Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264H Notice of Approaching Graduation Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264I Notice of Change and-or Academic Status Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264J Request for Deferment Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264K Scholarship Offer Response Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Form 10-264M Mobility Agreement Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
19-264D Education Program Completion Notice VA Form 10-264D_Education Program Completion.pdf	Form and Instruction
19-264D Education Program Completion Notice VA Form 10-264D_Education Program Completion.pdf	Form and Instruction
10-264F Scholarship Agreement VA Form 10-264F_Agreement.pdf	Form and Instruction
10-264F Scholarship Agreement VA Form 10-264F_Agreement.pdf	Form and Instruction
10-264H Notice of Approaching Graduation VA Form 10-264H_Notice of Graduation.pdf	Form and Instruction
10-264H Notice of Approaching Graduation VA Form 10-264H_Notice of Graduation.pdf	Form and Instruction
10-264I Notice of Change and-or Academic Status VA Form 10-264I_Notice of Change.pdf	Form and Instruction
10-264I Notice of Change and-or Academic Status VA Form 10-264I_Notice of Change.pdf	Form and Instruction
10-264J Request for Deferment VA Form 10-264J_Request for Deferment.pdf	Form and Instruction
10-264J Request for Deferment VA Form 10-264J_Request for Deferment.pdf	Form and Instruction
10-264K Scholarship Offer Response VA Form 10-264K_Scholarship Offer Response.pdf	Form and Instruction
10-264K Scholarship Offer Response VA Form 10-264K_Scholarship Offer Response.pdf	Form and Instruction
10-264M Mobility Agreement VA Form 10-264M_Mobility Agreement.pdf	Form and Instruction
10-264M Mobility Agreement VA Form 10-264M_Mobility Agreement.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants

Agency IC Tracking Number:

2900-0899

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	19-264D	Yes	No	Fillable Printable
Form and Instruction	10-264F	Yes	No	Fillable Printable
Form and Instruction	10-264H	Yes	No	Fillable Printable
Form and Instruction	10-264I	Yes	No	Fillable Printable
Form and Instruction	10-264J	Yes	No	Fillable Printable
Form and Instruction	10-264K	Yes	No	Fillable Printable
Form and Instruction	10-264M	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

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
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	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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