Application for Individualized Tutorial Assistance

OMB Control No: 2900-0171	ICR Reference No: 200811-2900-005
Status: Historical Active	Previous ICR Reference No: 200802-2900-001
Agency/Subagency: VA	Agency Tracking No: 2900-0171
Title: Application for Individualized Tutorial Assistance
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/06/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/25/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	10/31/2011	10/31/2011
Responses	1,200	0	1,200
Time Burden (Hours)	600	0	600
Cost Burden (Dollars)	0	0	0

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Abstract: This form is used by students 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.

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Authorizing Statute(s): US Code: 38 USC 3019 Name of Law: Tutorial Assistance    US Code: 38 USC 3533 Name of Law: Special assistance for the educationally disadvantaged    US Code: 10 USC 16131(g) Name of Law: Education Assistance Program: establishment; amount    US Code: 38 USC 3234 Name of Law: Tutorial Assistance    US Code: 38 USC 3492 Name of Law: Tutorial Assistance    US Code: 10 USC 2182 Name of Law: Educational assistance: dependents of captives    US Code: 10 USC 2183 Name of Law: Educational assistance: dependents of captives

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 32	02/15/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 112	06/10/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Application for Individualized Tutorial Assistance 22-1990t Application for Individualized Tutorial Assistance

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ICR Summary of Burden

	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	1,200	1,200	0	0	0	0
Annual Time Burden (Hours)	600	600	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $30,650

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Denise McLamb 202-565-8374 [email protected]

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Common Form ICR:  No

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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: 11/25/2008

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