Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr Modified 6500 24342 0 Form VA form 10-0491 HPSP/VIOMPSP Academic Verification
Form VA Form 10-0491a HPSP/VIOMPSP Addendum to Application
Form VA Form 10-0491c HPSP/VIOMPSP Annual VA employment deferment Verification
Form VA Form 10-0491d HPSP/VIOMPSP Education Program Completion Notice_Service Obligation Placement
Form VA Form 10-0491e HPSP/VIOMPSP Evaluation Recommendation Form
Form VA Form 10-0491f HPSP Agreement
Form and Instruction VA Form 10-0491g HPSP/VIOMPSP Application
Form VA Form 10-0491h HPSP/VIOMPSP Notice of Approaching Graduation
Form VA Form 10-0491i HPSP/VIOMPSP Notice of Change and/or Annual Academic Status Report
Form VA Form 10-0491j HPSP/VIOMPSP Request for Deferment for Advanced Education
Form VA Form 10-0491k HPSP/VIOMPSP VA Scholarship Offer Response
Form VA Form 10-0491L VIOMPSP Agreement
Total burden requested under this ICR: 6500 24342 0  
To view an IC, click on IC Title