Conflicting Interests Certification for Proprietary Schools

ICR 200810-2900-012

OMB: 2900-0657

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2008-11-09
IC Document Collections
ICR Details
2900-0657 200810-2900-012
Historical Active 200709-2900-017
VA 2900-0657
Conflicting Interests Certification for Proprietary Schools
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/06/2009
Retrieve Notice of Action (NOA) 11/19/2008
  Inventory as of this Action Requested Previously Approved
04/30/2011 04/30/2011 04/30/2011
150 0 150
25 0 25
0 0 0

Title 38 section 3683 prohibits VA and SAA (State approving agency) employees from owning any interest in a proprietary school or from receiving specified types of income from private for-profit schools. 38 CFR 21.4202 prohibits any eligible person who is an official in a proprietary school from signing VA certifications. We are modifying this form because Pub.L. 110-252 added chapter 33 of title 38, U.S.C., to the list of educational benefit programs affected by these restrictions. This form is used by proprietary schools to certify that there are no conflict of interests.

US Code: 38 USC 3683 Name of Law: Conflicting Interest
  
None

Not associated with rulemaking

  72 FR 199 10/16/2007
73 FR 12 01/17/2008
No

1
IC Title Form No. Form Name
Conflicting Interests Certification for Proprietary Schools VA Form 22-1919(old form), VA Form 22-1919(new form) Conflicting Interests Certification For Proprietary Schools ,   Conflicting Interests Certification for Proprietary Schools

  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 150 150 0 0 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,107
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  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.
11/19/2008


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