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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR PARTICIPATION IN THE VETERANS ADMINISTRATION HEALTH PROFESSIONAL SCHOLARSHIP PROGRAM

ICR 198707-2900-012 · OMB 2900-0352 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
148000 APPLICATION FOR PARTICIPATION IN THE VETERANS ADMINISTRATION HEALTH PROFESSIONAL SCHOLARSHIP PROGRAM Form Migrated
ICR Details
2900-0352 198707-2900-012
Historical Active 198509-2900-005
VA
APPLICATION FOR PARTICIPATION IN THE VETERANS ADMINISTRATION HEALTH PROFESSIONAL SCHOLARSHIP PROGRAM
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 09/21/1987
Retrieve Notice of Action (NOA) 07/15/1987
THIS REQUEST IS APPROVED CONDITIONAL UPON VA ADDING THE FOLLOWING STATEMENT TO THE FORM: "I CERTIFY THAT I AM NOT DELINQUENT ON REPAYMENT OF ANY FEDERAL DEBT."
  Inventory as of this Action Requested Previously Approved
09/30/1990 09/30/1990
4,000 0 0
4,000 0 0
0 0 0
INFORMATION PROVIDED O APPLICATION IS NEEDED TO DETERMINE ELIGIBILITY AND SUITABILITY OF INDIVIDUALS DESIRING TO BE AWARDED SCHOLARSHIPS UNDER PROVIDIONS OF SECTION 4142(A)(2), 38 USC. RESPONDENTS ARE STUDENTS ENROLLED IN BACCALAUREATE AND MASTER'S DEGREE NURSING AND PHYSICAL THERAPY PROGRAM PRIOR TO FY 1988 SCHOLARSHIP AWARDS WERE ONLY AVAILABLE TO NURSING STUDENTS.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR PARTICIPATION IN THE VETERANS ADMINISTRATION HEALTH PROFESSIONAL SCHOLARSHIP PROGRAM VA 10-0003, 10-0003A, THRU, 10-0003C
  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 4,000 0 0 4,000 0 0
Annual Time Burden (Hours) 4,000 0 0 4,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/15/1987