Time Record (Work-Study Program)

Time Record (Work-Study Program) (VA Form 22-8690)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0379 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-8690 Time Record (Work-Study Program) Form
VA Form 22-8690 Time Record (Work-Study Program) 22-8690(3-28-17).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Time Record (Work-Study Program)	Agency IC Tracking Number:	2900-0379

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4145 38 CFR 21.272

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-8690	Time Record (Work-Study Program)	22-8690(3-28-17).pdf	www.va.gov/vaforms	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 142,272	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	142,272	66,966	75,306
Annual IC Time Burden (Hours)	11,856	5,581	6,275
Annual IC Cost Burden (Dollars)	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.