View Information Collection Request (ICR) Package
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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:
2900-0793
ICR Reference No:
202006-2900-006
Status:
Historical Inactive
Previous ICR Reference No:
201904-2900-004
Agency/Subagency:
VA
Agency Tracking No:
2900-0793
Title:
VA Health Professional Scholarship Programs - EACFMAF (AQ74)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Improperly submitted and continue
Conclusion Date:
01/19/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/06/2020
Terms of Clearance:
VA may resubmit this collection when it is ready for review. If submitted on or before 08/05/2021, the collection may be resubmitted to OMB review without being re-noticed in the Federal Register. In VA's next revision or extension request for this control number, VA will submit documentation that VA has explored the following: 1. Revising this collection to be less confusing for those with flat rate tuition in form. 2. Revising the language for courses that are repeatable for credit by design rather than because they’ve been failed. 3. VA has monitored to see if respondents understand that VA wants a specialty accreditor rather than a regional accreditor and assess if asking respondents this reduces burden on VA compared to VA comparing schools to established lists of accredited schools. 4. For VA Forms 10-0491e/Form 10-0491f/VA Form 10-0491k/VA Form 10-0491L/VA Form 10-0491m: Analyzing the feasibility of accepting updates through email or some other less burdensome approach rather than mail. 5. VA Form 10-0491e: Explore revising the question about the applicant’s performance to include a reference group so that answers to the questions in order to improve practical utility and construct validity and revising the question around interpersonal skills to be more clear in order to improve practical utility and construct validity. Any information submitted pursuant to the terms and conditions that the awardee shall “Submit required documentation periodically to the Scholarship Office at times determined by VA to continue receiving the scholarship award” is not approved under this control number. Any additional documentation required from 10 or more persons in a 12 month period, other than the items specifically mentioned in the forms and agreement, will need separate OMB approval.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2023
36 Months From Approved
03/31/2023
Responses
1,800
0
1,800
Time Burden (Hours)
6,996
0
6,996
Cost Burden (Dollars)
0
0
0
Abstract:
A collection of information is necessary to implement the Department of Veterans Affairs (VA) Educational Assistance for Certain Former Members of the Armed Forces (EACFMAF) that was authorized under Public Law 115-141, Consolidated Appropriations Act 2018. The passage of this legislation allows VA to establish a pilot program that will provide educational assistance through the Health Professional Scholarship Program (HPSP) to certain former members of the Armed Forces for education and training leading to employment as a VA physician assistant, the EACFMAF program. This program will help address the VA health care workforce needs by increasing the PA workforce. The legal authority for this data collection is also found under 38 U.S.C., Part I, Chapter 5, §527 that 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 and 38 U.S.C. §7611 (HPSP), for VA, to determine the applicant's eligibility to receive a scholarship award. The EACFMAF program will be included in a currently approved collection under OMB Control Number 2900-0793. In order to efficiently respond to the described recent legislation, VHA is utilizing these existing forms (with minor modification) to administer the EACFMAF program.
Authorizing Statute(s):
US Code:
38 USC Part 1, Chapter 5, Section 527
Name of Law: Measurement and Evaluation of DVA Programs
PL:
Pub.L. 115 - 141 246
Name of Law: Consolidated Appropriations Act 2018
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
2900-AQ74
Proposed rulemaking
85 FR 45135
07/27/2020
Federal Register Notices & Comments
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
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr
VA Form 10-0491, VA Form 10-0491a, VA Form 10-0491c, VA Form 10-0491d, VA Form 10-0491e, VA Form 10-0491f, VA Form 10-0491g, VA Form 10-0491h, VA Form 10-0491i, VA Form 10-0491j, VA Form 10-0491k, VA Form 10-0491m
HPSP Academic Verification
,
HPSP Addendum to Application
,
HPSP Annual VA Employment or Deferment Verification
,
HPSP Education Program Completion Notice_Service Obligation Placement
,
HPSP Evaluation Recommendation Form
,
HPSP Agreement
,
HPSP Application
,
HPSP Notice of Approaching Graduation
,
HPSP Notice of Change and/or Annual Academic Status Report
,
HPSP Request for Deferment for Advanced Education
,
HPSP VA Scholarship Offer Response
,
HPSP Mobility Agreement
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Changing Regulations
Short Statement:
The EACFMAF program is newly established and will be included in the currently approved collection under OMB Control Number 2900-0793. In order to efficiently respond to the described recent legislation, VHA is utilizing these existing forms (with modifications to the burden) to administer the EACFMAF program.
Annual Cost to Federal Government:
$27,689,000
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:
Frances O'Donnell 703 405-2449 fran.odonnell@cathexiscorp.com
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
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:
08/06/2020
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