Information Collection Request

Readjustment Counseling Service Scholarship Program (RCSSP)

ICR 202508-2900-009 · OMB 2900-0899 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-264M Mobility Agreement Form and Instruction Modified Repair queued
Form 10-264M Mobility Agreement Form and Instruction Modified Available
Form 10-264K Scholarship Offer Response Form and Instruction Modified Repair queued
Form 10-264K Scholarship Offer Response Form and Instruction Modified Available
Form 10-264J Request for Deferment Form and Instruction Modified Repair queued
Form 10-264J Request for Deferment Form and Instruction Modified Available
Form 10-264I Notice of Change and-or Academic Status Form and Instruction Modified Repair queued
Form 10-264I Notice of Change and-or Academic Status Form and Instruction Modified Available
Form 10-264H Notice of Approaching Graduation Form and Instruction Modified Repair queued
Form 10-264H Notice of Approaching Graduation Form and Instruction Modified Available
Form 10-264F Scholarship Agreement Form and Instruction Modified Repair queued
Form 10-264F Scholarship Agreement Form and Instruction Modified Available
Form 19-264D Education Program Completion Notice Form and Instruction Modified Repair queued
Form 19-264D Education Program Completion Notice Form and Instruction Modified Available
Form 10-264G Application Form and Instruction Modified Repair queued
Form 10-264G Application Form and Instruction Modified Available
Form 10-264E Evaluation and Recommendation Form and Instruction Modified Repair queued
Form 10-264E Evaluation and Recommendation Form and Instruction Modified Available
Form 10-264A Addendum to Application Form and Instruction Modified Repair queued
Form 10-264A Addendum to Application Form and Instruction Modified Available
Form 10-264 Academic Verification Form and Instruction Modified Available
Form 10-264 Academic Verification Form and Instruction Modified Available
30-day FRN_2900-0899_RCS Scholarship Program_published 04232026.pdf Supplementary Document Uploaded 2026-04-23 Repair queued
30-day FRN_2900-0899_RCS Scholarship Program_published 04232026.pdf Supplementary Document Uploaded 2026-04-23 Available
60-day FRN_2900-0899_RCS Scholarship Program_published 02042026.pdf Supplementary Document Uploaded 2026-03-02 Repair queued
60-day FRN_2900-0899_RCS Scholarship Program_published 02042026.pdf Supplementary Document Uploaded 2026-03-02 Available
SSA_2900-0899_RCS Scholarship Program (RCSSP)_updated Apr 2026.docx Supporting Statement A Uploaded 2026-04-23 Repair queued
SSA_2900-0899_RCS Scholarship Program (RCSSP)_updated Apr 2026.docx Supporting Statement A Uploaded 2026-04-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedMobility Agreement
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedMobility Agreement
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedScholarship Offer Response
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedScholarship Offer Response
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedRequest for Deferment
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedRequest for Deferment
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedNotice of Change and-or Academic Status
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedNotice of Change and-or Academic Status
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedNotice of Approaching Graduation
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedNotice of Approaching Graduation
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedScholarship Agreement
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedScholarship Agreement
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedEducation Program Completion Notice
250256 Readjustment Counseling Service Scholarship Program (RCSSP) - Selected Participants Form and Instruction ModifiedEducation Program Completion Notice
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedApplication
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedApplication
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedEvaluation and Recommendation
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedEvaluation and Recommendation
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedAddendum to Application
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedAddendum to Application
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedAcademic Verification
250254 Readjustment Counseling Service Scholarship Program (RCSSP) - Applicants Form and Instruction ModifiedAcademic Verification
ICR Details
2900-0899 202508-2900-009
Active 202211-2900-010
VA 2900-0899
Readjustment Counseling Service Scholarship Program (RCSSP)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/26/2026
Retrieve Notice of Action (NOA) 04/24/2026
  Inventory as of this Action Requested Previously Approved
05/31/2029 36 Months From Approved
66 0 0
181 0 0
0 0 0

This information collection is necessary due to the mandates of section 502 of Public Law 115-171, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019, which amended Chapter 76 of title 38 United States Code (U.S.C.) by establishing sections 7698 through 7699B and creating a scholarship program known as the Readjustment Counseling Service Scholarship Program (RCSSP). This legislation authorizes the Department of Veterans Affairs (VA) Readjustment Counseling Service (RCS) to provide scholarship awards to individual Veterans enrolled in accredited academic programs leading to an appointment in one of the selected health professional occupations (psychology, social work, marriage and family therapy, or mental health counseling). The RCSSP serves as an incentive to eligible individuals to further their own career development through completing a graduate degree in one of these four professions. The RCSSP also provides increased access to care for eligible individuals by filling existing vacancies in Vet Centers within population areas with a high level of veteran density and corresponding levels of demand. It is expected that many of these scholarship recipients will continue with VA employment after completion of their service obligation. Further legal authority for this data collection is found under 38 USC, Part I, Chapter 5, Section 527, which authorizes the collection of data that will allow measurement and evaluation of the Department of Veterans Affairs Programs, the goal of which is improved health care for veterans. The information is required to be collected to determine the eligibility or suitability of an applicant desiring to receive an award under the provisions section 502 of Public Law 115-171, the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019. The application forms in this collection are 10-264, 10-264A, 10-264E, and 10-264G. The awardee forms are 10-264D, 10-264F, 10-264H, 10-264I, 10-264J, 10-264K, and 10-264M.

PL: Pub.L. 115 - 171 502 Name of Law: Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019
  
PL: Pub.L. 115 - 171 502 Name of Law: CMDR John Scott Hannon Veterans Mental Health Care Improvement Act of 2019

Not associated with rulemaking

  91 FR 5158 02/04/2026
91 FR 21873 04/23/2026
No

  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 66 0 0 66 0 0
Annual Time Burden (Hours) 181 0 0 181 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden hours have increased based upon program data that demonstrates an increase in the anticipated number of applicants and awardees.

$1,318
No
    Yes
    Yes
No
No
No
No
Frances O'Donnell 703 405-2449 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/24/2026