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

Forms and Documents

Document Name	Status
Form VA Form 22-10203 Edith Nourse Rogers STEM Scholarship Application Form	New
2019-24954.pdf Supplementary Document	2019-12-04
SupportingState(2900-NEW).docx Supporting Statement A	2019-11-05
2019-18904.pdf Supplementary Document	2019-09-26

IC Document Collections

IC ID	Document Title	Status
237068	Edith Nourse Rogers STEM Scholarship Application Form	New

ICR Details

OMB Control No: 2900-0878	ICR Reference No: 201907-2900-003
Status: Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-NK
Title: Edith Nourse Rogers STEM Scholarship Application (VA Form 22-10203)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/09/2020
	Date Received in OIRA: 01/16/2020
Terms of Clearance: No later than 12/9/2020, the Department of Veterans Affairs shall submit a non-substantive change request with the following corrections: 1. Modifying the electronic version of this collection to comply with 5 CFR 1320.8(b)(3), 2. Correcting "Department of Treasury" to "Department of the Treasury" in both the paper and electronic versions, and 3. Correcting the sentence in the paper copy of the form that currently reads "You are not required to respond to a collection of information is not displayed."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved
Responses	750	0	0
Time Burden (Hours)	36,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: On August 16, 2017, the President signed into law the Harry W. Colmery Veterans Educational Assistance Act of 2017(“Forever GI Bill”), Public Law 115-48, which amends Title 38, United States Code to make certain improvements in the laws administered by the Secretary of Veterans Affairs (VA), and for other purposes. Section 111 of the law added new section 3320 to title 38, U.S.C. Section 3320 authorizes VA to administer the Edith Nourse Rogers STEM Scholarship Program. Under the program, VA shall provide up to 9 months or $30,000 of Post-9/11 GI Bill benefits to certain eligible individuals selected by the Secretary of VA. To apply for and receive the scholarship, an individual must complete the application form, VA Form 22-10203.

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Authorizing Statute(s): PL: Pub.L. 115 - 48 111 Name of Law: Harry W. Colmery Veterans Educational Assistance Act of 2017
  

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:
	84 FR 18904	09/03/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 24954	11/19/2019
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
Edith Nourse Rogers STEM Scholarship Application	VA Form 22-10203	Edith Nourse Rogers STEM Scholarship Application

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ICR Summary of Burden

	Total Approved	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	750	0	0	750	0	0
Annual Time Burden (Hours)	36,000	0	0	36,000	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: This is a new collection of information.

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Annual Cost to Federal Government: $4,391,719

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: 01/16/2020

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