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VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs
OMB: 2900-0793
IC ID: 204870
OMB.report
VA
OMB 2900-0793
ICR 201604-2900-017
IC 204870
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0793 can be found here:
2023-02-17 - Revision of a currently approved collection
2020-08-06 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form VA Form 10-0491g
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr
Form and Instruction
VA form 10-0491 HPSP/VIOMPSP Academic Verification
vha-10-0491-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491a HPSP/VIOMPSP Addendum to Application
vha-10-0491a-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491c HPSP/VIOMPSP Annual VA employment deferment Verification
vha-10-0491c-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491d HPSP/VIOMPSP Education Program Completion Notice_Service
vha-10-0491d-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491e HPSP/VIOMPSP Evaluation Recommendation Form
vha-10-0491e-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491f HPSP Agreement
vha-10-0491f-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491g HPSP/VIOMPSP Application
vha-10-0491g-fill.pdf
vaww.va.gov/vaforms/
Form and Instruction
VA Form 10-0491h HPSP/VIOMPSP Notice of Approaching Graduation
vha-10-0491h-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491i HPSP/VIOMPSP Notice of Change and/or Annual Academic Sta
vha-10-0491i-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491j HPSP/VIOMPSP Request for Deferment for Advanced Educatio
vha-10-0491j-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491k HPSP/VIOMPSP VA Scholarship Offer Response
vha-10-0491k-fill.pdf
vaww.va.gov/vaforms/
Form
VA Form 10-0491L VIOMPSP Agreement
vha-10-0491L-fill.pdf
vaww.va.gov/vaforms/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Pr
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
38 CFR Part 17 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VA Form 10-0491g
HPSP/VIOMPSP Application
vha-10-0491g-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491h
HPSP/VIOMPSP Notice of Approaching Graduation
vha-10-0491h-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491d
HPSP/VIOMPSP Education Program Completion Notice_Service Obligation Placement
vha-10-0491d-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491a
HPSP/VIOMPSP Addendum to Application
vha-10-0491a-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491c
HPSP/VIOMPSP Annual VA employment deferment Verification
vha-10-0491c-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491j
HPSP/VIOMPSP Request for Deferment for Advanced Education
vha-10-0491j-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491k
HPSP/VIOMPSP VA Scholarship Offer Response
vha-10-0491k-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491L
VIOMPSP Agreement
vha-10-0491L-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA form 10-0491
HPSP/VIOMPSP Academic Verification
vha-10-0491-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491f
HPSP Agreement
vha-10-0491f-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491i
HPSP/VIOMPSP Notice of Change and/or Annual Academic Status Report
vha-10-0491i-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Form
VA Form 10-0491e
HPSP/VIOMPSP Evaluation Recommendation Form
vha-10-0491e-fill.pdf
http://vaww.va.gov/vaforms/
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
6,500
0
0
0
0
6,500
Annual IC Time Burden (Hours)
24,342
0
0
-8,347
0
32,689
Annual IC Cost Burden (Dollars)
0
0
0
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.