Application for Public Safety Officers' Educational Assistance

OMB 1121-0220

The agency requires the information requested on this application to determine if individuals are eligible to receive educational assistance through the Public Safety Officers' Educational Assistance (PSOEA) Program, as established by the PSOEA Act of 1998 (P.L. 104-238). Respondents who complete the application may be spouses or eligible children of public safety officers who were killed or permanently and totally disabled in the line of duty.

The latest form for Application for Public Safety Officers' Educational Assistance expires 2024-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Supporting Statement 2 - PSOB Program.docx Supporting Statement A
PSOB_LEGISLATION.pdf Supplementary Document
Public Safety Officers' Appeal Request Application Other-questions
Public Safety Officers' Disability Beneftis Application Other-questions
Public Safety Officers' Death Benefits Application Other-questions
Application for Public Safety Officers' Educational Assistance Other-questions

All Historical Document Collections

202401-1121-004 Approved without change	Revision of a currently approved collection	2024-01-31
202010-1121-003 Approved without change	Extension without change of a currently approved collection	2020-10-30
201707-1121-002 Approved without change	Revision of a currently approved collection	2017-08-30
201701-1121-001 Approved without change	Extension without change of a currently approved collection	2017-01-31
201307-1121-001 Approved without change	Reinstatement without change of a previously approved collection	2013-09-17
201003-1121-004 Approved without change	Extension without change of a currently approved collection	2010-03-24
200610-1121-001 Approved with change	Revision of a currently approved collection	2007-01-18
200401-1121-001 Approved without change	Extension without change of a currently approved collection	2004-01-07
200310-1121-002 Approved without change	Reinstatement with change of a previously approved collection	2003-10-14
199903-1121-004 Approved without change	Reinstatement without change of a previously approved collection	1999-03-17
199707-1121-001 Approved without change	New collection (Request for a new OMB Control Number)	1997-07-03

OMB Details

Application for Public Safety Officers' Educational Assistance

Federal Enterprise Architecture: Education - Higher Education