Time Record (Work-Study Program)

Forms and Documents

Document Name	Status
Form VA Form 22-8690 Time Record (Work-Study Program) Form	Modified
2900-0379 justification.doc Supporting Statement A	2007-06-11

IC Document Collections

IC ID	Document Title	Status
28584	Time Record (Work-Study Program) Form	Modified

ICR Details

OMB Control No: 2900-0379	ICR Reference No: 200704-2900-002
Status: Historical Active	Previous ICR Reference No: 200403-2900-007
Agency/Subagency: VA	Agency Tracking No: 2900-0379
Title: Time Record (Work-Study Program)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/12/2007
	Date Received in OIRA: 04/02/2007
Terms of Clearance: OMB approves this collection consistent with the revised supporting statement on 6/11/07. Approved for one year. VA should continue to resolve issues of electronic automation and upon expiration of the collection, VA should demonstrate progress, in compliance with the Government Paperwork Elimination Act. Upon resubmission of this collection, VA shall demonstrate GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2008	36 Months From Approved	06/30/2007
Responses	110,010	0	129,000
Time Burden (Hours)	9,167	0	10,750
Cost Burden (Dollars)	0	0	0

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Abstract: This form is used by facilities such as educational institutions, VA regional offices, medical centers, and cemeteries to verify the actual number of hours worked by a work-study claimant.

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Authorizing Statute(s): US Code: 38 USC 3485 Name of Law: Work-study allowance
  

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:
	72 FR 15	01/24/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 62	04/02/2007
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
Time Record (Work-Study Program)	VA Form 22-8690	Time Record (Work-Study Program)

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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	110,010	129,000	0	-18,990	0	0
Annual Time Burden (Hours)	9,167	10,750	0	0	-1,583	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: There is a decrease of 1,582 hours in the requested burden from the current submission. We have determined that fewer forms are submitted annually.

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Annual Cost to Federal Government: $472,401

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

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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: 04/02/2007

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