Information Collection

Conflicting Interests Certification for Proprietary Schools (Under Chapters 30, 31, 32, and 35, Title 38, U.S.C.; Chapters 1606 and 1607, Title 10, U.S.C.; Sections 901 or 903 of Public Law 96-342, Na

IC 28934 under ICR 200709-2900-017 · OMB 2900-0657.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0657 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-1919 Conflicting Interests Certification for Proprietary Schools (Under Chapters 30, 31, 32, and 35, Title 38, U.S.C.; Chapters 1606 and 1607, Title 10, U.S.C.; Sections 901 or 903 of Public Law 96-342, Na Form
VA Form 22-1919 Conflicting Interests Certification for Proprietary Scho 22-1919.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Conflicting Interests Certification for Proprietary Schools (Under Chapters 30, 31, 32, and 35, Title 38, U.S.C.; Chapters 1606 and 1607, Title 10, U.S.C.; Sections 901 or 903 of Public Law 96-342, Na	Agency IC Tracking Number:	2900-0657

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.7122(e)(6) 38 CFR 21.4202(c) 38 CFR 21.7622(f)(4)(iv) 38 CFR 21,4200(z) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-1919	Conflicting Interests Certification for Proprietary Schools	22-1919.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.