OMB control number

Readjustment Counseling Service Scholarship Program (RCSSP)

OMB 2900-0899 · VA.

OMB 2900-0899

This information collection is necessary due to the mandates of section 502 of Public Law 115-171, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019, which amended Chapter 76 of title 38 United States Code (U.S.C.) by establishing sections 7698 through 7699B and creating a scholarship program known as the Readjustment Counseling Service Scholarship Program (RCSSP). This legislation authorizes the Department of Veterans Affairs (VA) Readjustment Counseling Service (RCS) to provide scholarship awards to individual Veterans enrolled in accredited academic programs leading to an appointment in one of the selected health professional occupations (psychology, social work, marriage and family therapy, or mental health counseling). The RCSSP serves as an incentive to eligible individuals to further their own career development through completing a graduate degree in one of these four professions. The RCSSP also provides increased access to care for eligible individuals by filling existing vacancies in Vet Centers within population areas with a high level of veteran density and corresponding levels of demand. It is expected that many of these scholarship recipients will continue with VA employment after completion of their service obligation. Further legal authority for this data collection is found under 38 USC, Part I, Chapter 5, Section 527, which authorizes the collection of data that will allow measurement and evaluation of the Department of Veterans Affairs Programs, the goal of which is improved health care for veterans. The information is required to be collected to determine the eligibility or suitability of an applicant desiring to receive an award under the provisions section 502 of Public Law 115-171, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019. The application forms in this collection are 10-264, 10-264A, 10-264E, and 10-264G. The awardee forms are 10-264D, 10-264F, 10-264H, 10-264I, 10-264J, 10-264K, and 10-264M.

The latest form for Readjustment Counseling Service Scholarship Program (RCSSP) expires 2029-05-31 and is listed under ICR 202508-2900-009.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 10-264M Mobility Agreement	Form and Instruction
Form 10-264K Scholarship Offer Response	Form and Instruction
Form 10-264J Request for Deferment	Form and Instruction
Form 10-264I Notice of Change and-or Academic Status	Form and Instruction
Form 10-264H Notice of Approaching Graduation	Form and Instruction
Form 10-264F Scholarship Agreement	Form and Instruction
Form 19-264D Education Program Completion Notice	Form and Instruction
Form 10-264M Mobility Agreement	Form and Instruction
Form 10-264J Request for Deferment	Form and Instruction
Form 10-264I Notice of Change and-or Academic Status	Form and Instruction
Form 10-264H Notice of Approaching Graduation	Form and Instruction
Form 19-264D Education Program Completion Notice	Form and Instruction
Form 10-264G Application	Form and Instruction
Form 10-264E Evaluation and Recommendation	Form and Instruction
Form 10-264A Addendum to Application	Form and Instruction
Form 10-264 Academic Verification	Form and Instruction
Form 10-264E Evaluation and Recommendation	Form and Instruction
Form 10-264A Addendum to Application	Form and Instruction
Form 10-264 Academic Verification	Form and Instruction
30-day FRN_2900-0899_RCS Scholarship Program_published 04232026.pdf	Supplementary Document
30-day FRN_2900-0899_RCS Scholarship Program_published 04232026.pdf	Supplementary Document
60-day FRN_2900-0899_RCS Scholarship Program_published 02042026.pdf	Supplementary Document
SSA_2900-0899_RCS Scholarship Program (RCSSP)_updated Apr 2026.docx	Supporting Statement A
SSA_2900-0899_RCS Scholarship Program (RCSSP)_updated Apr 2026.docx	Supporting Statement A
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction
Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202508-2900-009	Reinstatement with change of a previously approved collection	2026-04-24
202211-2900-010	New collection (Request for a new OMB Control Number)	2022-12-08	Approved without change
202107-2900-003	New collection (Request for a new OMB Control Number)	2021-11-23	Comment filed on proposed rule

OMB Details

Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
Form 10-264	Academic Verification	Fillable Printable	Form and instruction
Form 10-264A	Addendum to Application	Fillable Printable	Form and instruction
Form 10-264G	Application	Fillable Printable	Form and instruction
Form 10-264E	Evaluation and Recommendation	Fillable Printable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.