Application for Individualized Tutorial Assistance (Under Chs. 30, 32 and 35 Title 38 USC; Ch. 1607 Title 10 USC; Sec 903 of PL 96-342, & the Omnibus Diplomatic Security and Antiterrorism Act of 1986)

Forms and Documents

Document Name	Status
Form 22-1990t Application for Individualized Tutorial Assistance (Under Chs. 30, 32 and 35 Title 38 USC; Ch. 1607 Title 10 USC; Sec 903 of PL 96-342, & the Omnibus Diplomatic Security and Antiterrorism Act of 1986) Form	Modified
2900-0171 justification.DOC Supporting Statement A	2008-08-22

IC Document Collections

IC ID	Document Title	Status
28413	Application for Individualized Tutorial Assistance (Under Chs. 30, 32 and 35 Title 38 USC; Ch. 1607 Title 10 USC; Sec 903 of PL 96-342, & the Omnibus Diplomatic Security and Antiterrorism Act of 1986) Form	Modified

ICR Details

OMB Control No: 2900-0171	ICR Reference No: 200802-2900-001
Status: Historical Active	Previous ICR Reference No: 200511-2900-005
Agency/Subagency: VA	Agency Tracking No: 2900-0171
Title: Application for Individualized Tutorial Assistance (Under Chs. 30, 32 and 35 Title 38 USC; Ch. 1607 Title 10 USC; Sec 903 of PL 96-342, & the Omnibus Diplomatic Security and Antiterrorism Act of 1986)
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 without change	Conclusion Date: 10/24/2008
	Date Received in OIRA: 08/22/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	36 Months From Approved	12/31/2008
Responses	1,200	0	800
Time Burden (Hours)	600	0	400
Cost Burden (Dollars)	0	0	0

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Abstract: This form is used by students who are receiving VA educational assistance and who require tutoring to overcome a deficiency in one or more courses. The information submitted by the student must be certified by the tutor, and the certifying official of the educational institution that the student is attending.

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Authorizing Statute(s): US Code: 38 USC 3019 Name of Law: Tutorial Assistance
   US Code: 38 USC 3533 Name of Law: Special assistance for the educationally disadvantaged
   US Code: 10 USC 16131(g) Name of Law: Education Assistance Program: establishment; amount
   US Code: 38 USC 3234 Name of Law: Tutorial Assistance
   US Code: 38 USC 3492 Name of Law: Tutorial Assistance
   US Code: 10 USC 2182 Name of Law: Educational assistance: dependents of captives
   US Code: 10 USC 2183 Name of Law: Educational assistance: dependents of captives
  

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:
	73 FR 32	02/15/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 112	06/10/2008
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
Application for Individualized Tutorial Assistance (Under Chs. 30, 32 and 35 Title 38 USC; Ch. 1607 Title 10 USC; Sec 903 of PL 96-342, & the Omnibus Diplomatic Security and Antiterrorism Act of 1986)	22-1990t	Application for Individualized Tutorial Assistance (Under Chs. 30, 32 and 35 Title 38 USC; Ch. 1607 Title 10 USC; Sec 903 of PL 96-342, & the Omnibus Diplomatic Security and Antiterrorism Act of 1986)

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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	1,200	800	0	0	400	0
Annual Time Burden (Hours)	600	400	0	0	200	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: The increase in burden hours is due to an adjustment in the previous estimate, which appears to have only included chapter 1606 and chapter 30. We believe the number of claims filed under the other programs would be approximately the same as those represented by chapter 1606 and chapter 30.

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Annual Cost to Federal Government: $30,650

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: 08/22/2008

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