Information Collection

Certification of School Attendance or Termination (VA Forms 21-8960 & 21-8960-1)

IC 28649 under ICR 202009-2900-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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 21-8960-1 Certification of School Attendance or Termination (VA Forms 21-8960 & 21-8960-1) Form
Form VA Form 21-8960-1 Certification of School Attendance or Termination Certification of School Attendance or Termination (VA Forms 21-8960 & 21-8960-1) Form
Form VA Form 21-8960 Certification of School Attendance or Termination Certification of School Attendance or Termination (VA Forms 21-8960 & 21-8960-1) Form
VA Form 21-8960-1 Certification of School Attendance or Termination VBA-21-8960-1 ARE 11-30-20162.pdf www.va.gov/vaforms Form
VA Form 21-8960-1 Certification of School Attendance or Termination VBA-21-8960-1 ARE 11-30-20162.pdf www.va.gov/vaforms Form
VA Form 21-8960 Certification of School Attendance or Termination VBA-21-8960-ARE 11-30-20162.pdf Xerox Laser Printer at Hines, IL Form
VA Form 21-8960 Certification of School Attendance or Termination VBA-21-8960-ARE 11-30-20162.pdf Xerox Laser Printer at Hines, IL Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of School Attendance or Termination (VA Forms 21-8960 & 21-8960-1)	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 21-8960-1	Certification of School Attendance or Termination	VBA-21-8960-1 ARE 11-30-20162.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-8960	Certification of School Attendance or Termination	VBA-21-8960-ARE 11-30-20162.pdf	Xerox Laser Printer at Hines, IL	No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records - VA,	FR Citation: 84 FR 4138

Number of Respondents: 9,259	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	9,259	-60,741	70,000
Annual IC Time Burden (Hours)	1,543	-10,124	11,667
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.

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