Edith Nourse Rogers STEM Scholarship Application

Edith Nourse Rogers STEM Scholarship Application (VA Form 22-10203)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0878 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-10203 Edith Nourse Rogers STEM Scholarship Application Form
VA Form 22-10203 Edith Nourse Rogers STEM Scholarship Application 22-10203(7-19).pdf www.va.gov/vaforms Form
22-10203-RogersSTEMScholarship-OMB-20200604 (002).pdf Digital Version IC Document

Information Collection (IC) Details

IC Title:	Edith Nourse Rogers STEM Scholarship Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-10203	Edith Nourse Rogers STEM Scholarship Application	22-10203(7-19).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: 58VA21/22/28, Compensation, Pension, Education and Vocational Rehabilitation and Employment Records -VA	FR Citation: 84 FR 24954

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	36,000	36,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Digital Version	22-10203-RogersSTEMScholarship-OMB-20200604 (002).pdf	06/09/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.