View Information Collection Request (ICR) Package

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: 2900-0657	ICR Reference No: 202006-2900-003
Status: Historical Active	Previous ICR Reference No: 201612-2900-002
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-NK
Title: Conflicting Interests Certification for Proprietary Schools Only (VA Form 22-1919)
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: 03/25/2021
	Date Received in OIRA: 10/02/2020
Terms of Clearance: VA is encouraged to consider the use of this form within the broader context of faithful execution of 38 USC 3683. In doing so, VA should consider 1. The practical utility and burden of what information should be collected directly from VA and SAA employees versus from senior school officials, 2. What information the school officials reasonably have access to, and 3. Communicating to schools, VA employees, and SAA employees what expectations, if any, exist related to changes in information currently collected on a one-time basis.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2024	36 Months From Approved	03/31/2021
Responses	336	0	202
Time Burden (Hours)	56	0	34
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	336	202	134
Annual Time Burden (Hours)	56	34	22
Annual Cost Burden (Dollars)	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 slight increase in the annual reporting burden from 34 hours to 56 hours is as a result of an increase in approvals received by the SAA and/or VA from ‘2017 through ‘2019.

Annual Cost to Federal Government: $1,946

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Danny Green 202 421-1354 danny.green2@va.gov

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