Application for Individualized Tutorial Assistance (VA Form 22-1990t)

Forms and Documents

Document Name	Status
Form VA Form 22-1990t Application for Individualized Tutorial Assistance Form	Modified
SUPPORTING STATEMENT (2900-0171) FINAL.docx Supporting Statement A	2021-10-27
2021-22625.pdf Supplementary Document	2021-10-27
2021-16321.pdf Supplementary Document	2021-08-02

IC Document Collections

IC ID	Document Title	Status
28413	Application for Individualized Tutorial Assistance Form	Modified

ICR Details

OMB Control No: 2900-0171	ICR Reference No: 202107-2900-009
Status: Received in OIRA	Previous ICR Reference No: 202007-2900-013
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-NK
Title: Application for Individualized Tutorial Assistance (VA Form 22-1990t)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/27/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2021
Responses	5,143	718
Time Burden (Hours)	2,571	359
Cost Burden (Dollars)	0	0

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Abstract: The Department of Veterans Affairs (VA) is authorized to pay tutorial assistance under Chapters 30, 32, 33, and 35, Title 38, U.S.C.; Chapters 1606 Title 10, U.S.C., Section 903 of Public Law 96-342, and the Omnibus Diplomatic Security and Antiterrorism Act of 1986. Tutorial assistance is a supplementary allowance payable on a monthly basis for up to 12 months. The student must be training at one-half time or more in a post-secondary degree program, and must have a deficiency in a unit course or subject that is required as part of, or prerequisite to, his or her approved program. The student uses VA Form 22-1990t, Application and Enrollment Certification for Individualized Tutorial Assistance to apply for the supplemental allowance.

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Authorizing Statute(s): 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 3019 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
   US Code: 38 USC 3533 Name of Law: Special assistance for the educationally disadvantaged
  

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:
	86 FR 16321	07/30/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 22625	10/18/2021
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	VA Form 22-1990t	Application for Individualized Tutorial Assistance

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ICR Summary of Burden

	Total Request	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	5,143	718	0	4,425	0	0
Annual Time Burden (Hours)	2,571	359	0	2,212	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is an increase in burden due to a substantial increase in the number of respondents through the periods of 2018 through 2020 than there were for the previous renewal submission. There was only an average of 359 Tutorial requests received for periods 2013 through 2017.

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Annual Cost to Federal Government: $74,624

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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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: 10/27/2021

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