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Federal forms, ICRs, and supporting documents

Information Collection Request

Application and Enrollment Certification for Individualized Tutorial Assistance

ICR 200211-2900-011 · OMB 2900-0171 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28412 Application and Enrollment Certification for Individualized Tutorial Assistance Form Migrated
ICR Details
2900-0171 200211-2900-011
Historical Active 200005-2900-004
VA
Application and Enrollment Certification for Individualized Tutorial Assistance
Extension without change of a currently approved collection   No
Regular
Approved without change 01/13/2003
Retrieve Notice of Action (NOA) 11/22/2002
  Inventory as of this Action Requested Previously Approved
01/31/2006 01/31/2006 07/31/2003
2,400 0 2,000
1,200 0 1,000
0 0 0
This form is used by studentws who are receiving VA educational assistance and who require tutoring to overcome a deficiency in one or more courses. The information submitted by the student must be certified by the tutor, and the certifying official of the educational institution that the student is attending.
None
None
No
1
IC Title Form No. Form Name
Application and Enrollment Certification for Individualized Tutorial Assistance 22-1990T
  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 2,400 2,000 0 0 400 0
Annual Time Burden (Hours) 1,200 1,000 0 0 200 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
11/22/2002