Information Collection

Edith Nourse Rogers STEM Scholarship Application

IC 237068 under ICR 202603-2900-017 · OMB 2900-0878.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-10203 Edith Nourse Rogers STEM Scholarship Application Edith Nourse Rogers STEM Scholarship Application	Form
22-10203 Edith Nourse Rogers STEM Scholarship Application VA Form 22-10203 6-18-26.pdf www.va.gov/vaforms	Form
22-10203-RogersSTEMScholarship-OMB-20200604 (002).pdf Digital Version	IC Document

IC Title:

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			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: 11,150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,150	-5,602	16,752
Annual IC Time Burden (Hours)	2,788	-1,400	4,188
Annual IC Cost Burden (Dollars)	92,545	-32,090	124,635

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Digital Version		06/09/2020

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

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