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Federal forms, ICRs, and supporting documents

OMB control number

VA Health Professional Scholarship Programs (HPSP, VIOMPSP)

OMB 2900-0793 · VA.

OMB 2900-0793

A collection of information is necessary to implement the Department of Veterans Affairs Visual Impairment and Orientation and Mobility Professional Scholarship Program and the VA Health Professional Scholarship Program authorized under Public Law 111-163. This legislation allows VA to provide services to the public by awarding scholarships to non-VA employees who will be required to become VA employees in the professions for which they were educated under these programs. These programs will help address VA health care workforce needs.

The latest form for VA Health Professional Scholarship Programs (HPSP, VIOMPSP) expires 2023-03-31 and is listed under ICR 201904-2900-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 10-0491k VA Scholarship Offer ResponseForm
Form VA Form 10-0491j Request for DefermentForm
Form VA Form 10-0491i Notice of Change (NOC)Form
Form VA Form 10-0491h Notice of Expected GraduationForm
Form VA Form 10-0491g ApplicationForm and Instruction
Form VA Form 10-0491e Evaluation and Recommendation FormForm
Form VA Form 10-0491d Obligated ServiceForm
Form VA Form 10-0491c Annual VA Employment or Deferment VerificationForm
Form VA form 10-0491 Academic VerificationForm
30-day FRN_2900-0793_VA Health Prof Scholarship Prog - HPSP VIOMPSP_pub 08052026.pdfSupplementary Document
2900-0793_Response to 60-day FRN comment_VA Health Prof Scholarship Programs_July 2026.pdfSupplementary Document
VA-2026-VACO-0001-0244.pdfPublic Comments
60-day FRN_2900-0793_VA Health Prof Scholarship Prog - HPSP VIOMPSP_pub 05152026.pdfSupplementary Document
2900-0793_SSA_VA Health Prof Scholarship Prog - HPSP VIOMPSP_updated Aug 2026.docxSupporting Statement A
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form and Instruction
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202603-2900-015 Reinstatement with change of a previously approved collection 2026-08-06
202212-2900-003 Revision of a currently approved collection 2023-02-17 Approved without change
202006-2900-006 Revision of a currently approved collection 2020-08-06
201904-2900-004 Revision of a currently approved collection 2019-09-06 Approved with change
201604-2900-017 Revision of a currently approved collection 2016-12-14 Approved with change
201306-2900-007 New collection (Request for a new OMB Control Number) 2013-09-03 Approved with change
201211-2900-008 New collection (Request for a new OMB Control Number) 2013-03-07 Comment filed on proposed rule