PRA IC List
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Agenda
Reg Review
ICR
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
100
413
0
Form
VA Form 10-0491
HPSP Academic Verification
Form
VA Form 10-0491a
HPSP Addendum to Application
Form
VA Form 10-0491c
HPSP Annual VA Employment or Deferment Verification
Form
VA Form 10-0491d
HPSP Education Program Completion Notice_Service Obligation Placement
Form
VA Form 10-0491e
HPSP Evaluation Recommendation Form
Form
VA Form 10-0491f
HPSP Agreement
Form and Instruction
VA Form 10-0491g
HPSP Application
Form
VA Form 10-0491h
HPSP Notice of Approaching Graduation
Form
VA Form 10-0491i
HPSP Notice of Change and/or Annual Academic Status Report
Form
VA Form 10-0491j
HPSP Request for Deferment for Advanced Education
Form
VA Form 10-0491k
HPSP VA Scholarship Offer Response
Form
VA Form 10-0491m
HPSP Mobility Agreement
Total burden requested under this ICR:
100
413
0
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