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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2900-0209
ICR Reference No:
201409-2900-009
Status:
Historical Active
Previous ICR Reference No:
201110-2900-015
Agency/Subagency:
VA
Agency Tracking No:
2900-0209 VBA-EDU-YM
Title:
Application for Work Study Allowance; Student Work-Study Agreement (Advance Payment); Extended Student Work-Study Agreement; Student Work-Study Agreement (22-8691, 22-8692, 22-8692a, & 22-8692b)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/20/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/12/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2018
36 Months From Approved
06/30/2015
Responses
38,635
0
33,700
Time Burden (Hours)
6,457
0
5,795
Cost Burden (Dollars)
0
0
0
Abstract:
Veterans, Reservists, and other beneficiaries submit these forms to VA to apply for a work-study allowance under 38 U.S.C. chapters 30, 31, 32, 33, and 35; Section 903 of Public Law 96-342; 10 U.S.C. chapters 1606 and 1607; and the National Call to Service provision of Public Law 107-314.
Authorizing Statute(s):
US Code:
10 USC 16166
Name of Law: chapter 1607 Administration
US Code:
38 USC 3104
Name of Law: chapter 31 Scope of services and assistance
US Code:
38 USC 3485
Name of Law: Work-Study Allowance
PL:
Pub.L. 110 - 252 5003
Name of Law: Post-9/11 Veterans Educational Assistance Act of 2008 (chapter 33)
US Code:
10 USC 16136
Name of Law: chapter 1606 Administration
PL:
Pub.L. 96 - 342 903
Name of Law: Department of Defense Authorization Act, 1981
PL:
Pub.L. 107 - 314 531
Name of Law: Bob Stump National Defense Authorization Act for FY 2003
US Code:
38 USC 3241
Name of Law: chapter 32 Administration
US Code:
38 USC 3537
Name of Law: chapter 35 Administration
US Code:
38 USC 3034(a)
Name of Law: chapter 30 Administration
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 62712
10/20/2014
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 1992
01/14/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Application for Work-Study Allowance, Student Work-Study Agreement (Advance Payment), Extended Student Work-Study Agreement, Student Work-Study Agreement
22-8691, 22-8692b, 22-8692, 22-8692a
STUDENT WORK-STUDY AGREEMENT (ADVANCE PAYMENT)
,
APPLICATION FOR WORK-STUDY ALLOWANCE
,
EXTENDED STUDENT WORK-STUDY AGREEMENT
,
STUDENT WORK-STUDY AGREEMENT
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
38,635
33,700
0
4,935
0
0
Annual Time Burden (Hours)
6,457
5,795
0
662
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The increase in the public burden hours to the current estimate of 6,457 hours (for 38,635 responses) reflects the increase in the annual projected number of applications, contracts, and extensions for FY 2014 through 2016 based on the actual number of these forms submitted for FY 2011, 2012 and 2013.
Annual Cost to Federal Government:
$136,368
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Crystal Rennie 202 632-7492 crystal.rennie@va.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
02/12/2015
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