Information Collection

Certification of School Attendance or Termination

IC 28649 under ICR 201103-2900-005 · OMB 2900-0458.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0458 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21-8960 Certification of School Attendance or Termination Form
VA Form 21-8960 Certification of School Attendance or Termination 21-8960.pdf Form
VA Form 21-8960-1 Certification of School Attendance or Termination 21-8960-1-ARE.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of School Attendance or Termination	Agency IC Tracking Number:	2900-0458

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.667

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-8960	Certification of School Attendance or Termination	21-8960.pdf		Yes	No	Paper Only
Form	VA Form 21-8960-1	Certification of School Attendance or Termination	21-8960-1-ARE.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: 70,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	70,000	70,000
Annual IC Time Burden (Hours)	11,667	11,667
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.