Information Collection

Application for Work-Study Allowance, Student Work-Study Agreement (Advance Payment), Extended Student Work-Study Agreement, Student Work-Study Agreement

IC 28453 under ICR 201409-2900-009 · OMB 2900-0209.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0209 can be found here:

Documents and Forms

Document Name Document Type
Form 22-8692 Application for Work-Study Allowance, Student Work-Study Agreement (Advance Payment), Extended Student Work-Study Agreement, Student Work-Study Agreement Form
22-8692 STUDENT WORK-STUDY AGREEMENT (ADVANCE PAYMENT) VA Form 22-8692 (10-2-14).pdf www.va.gov/vaforms Form
22-8691 APPLICATION FOR WORK-STUDY ALLOWANCE VA Form 22-8691 (10-2-14).pdf www.va.gov/vaforms Form
22-8692a EXTENDED STUDENT WORK-STUDY AGREEMENT VA Form 22-8692a (10-2-14).pdf www.va.gov/vaforms Form
22-8692b STUDENT WORK-STUDY AGREEMENT VA Form 22-8692b (10-2-14).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Work-Study Allowance, Student Work-Study Agreement (Advance Payment), Extended Student Work-Study Agreement, Student Work-Study Agreement	Agency IC Tracking Number:	2900-0209

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4145

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-8692	STUDENT WORK-STUDY AGREEMENT (ADVANCE PAYMENT)	VA Form 22-8692 (10-2-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	22-8691	APPLICATION FOR WORK-STUDY ALLOWANCE	VA Form 22-8691 (10-2-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	22-8692a	EXTENDED STUDENT WORK-STUDY AGREEMENT	VA Form 22-8692a (10-2-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	22-8692b	STUDENT WORK-STUDY AGREEMENT	VA Form 22-8692b (10-2-14).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: 38,635	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	38,635	4,935	33,700
Annual IC Time Burden (Hours)	6,457	662	5,795
Annual IC Cost Burden (Dollars)	0	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.