Application for Public Safety Officers' Educational Assistance

OMB 1121-0220

OMB 1121-0220

The agency requires the information requested on this application to determine if individuals are eligible to receive educational assistance through the Public Safety Officers' Educational Assistance (PSOEA) Program, as established by the PSOEA Act of 1998 (P.L. 104-238). Respondents who complete the application may be spouses or eligible children of public safety officers who were killed or permanently and totally disabled in the line of duty.

The latest form for Application for Public Safety Officers' Educational Assistance expires 2024-01-31 and can be found here.

OMB Details

Application for Public Safety Officers' Educational Assistance

Federal Enterprise Architecture: Education - Higher Education


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