# Agency Information Collection Activity Under OMB Review: VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs > Briefs, arguments, decisions, and more. URL: https://www.frixlaw.com/law-library/documents/fr%3A2018-15638 ## Record - **Collection:** Federal Register - **Document type:** Notice - **Published:** July 23, 2018 - **Citation:** 83 FR 34925 ## Text DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0793] Agency Information Collection Activity Under OMB Review: VA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship Programs AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health Administration, Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden and it includes the actual data collection instrument. DATES: Comments must be submitted on or before August 22, 2018. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW, Washington, DC 20503 or sent through electronic mail to oira_submission@omb.eop.gov. Please refer to “OMB Control No. 2900-0793” in any correspondence. FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Office of Quality, Privacy and Risk (OQPR), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 461-5870 or email cynthia.harvey-pryor@va.gov. Please refer to “OMB Control No. 2900-0793” in any correspondence. SUPPLEMENTARY INFORMATION: Authority: 38 U.S.C. 7601 through 7619, and 38 U.S.C. 7501 through 7505. Title: 1. Academic Verification, VA Form 10-0491 2. Addendum to Application, VA Form 10-0491a 3. Annual VA Employment Deferment Verification, VA Form 10-0491c 4. Education Program Completion Notice Service Obligation Placement, VA Form 10-0491d 5. Evaluation Recommendation Form, VA Form 10-0491e 6. HPSP Agreement, VA Form 10-0491f 7. HPSP/OMPSP Application, VA Form 10-0491g 8. Notice of Approaching Graduation, VA Form 10-0491h 9. Notice of Change and/or Annual Academic Status Report, VA Form 10-0491i 10. Request for Deferment for Advanced Education, VA Form 10-0491j 11. VA Scholarship Offer Response, VA Form 10-0491k 12. VIOMPSP Agreement, VA Form 10-0491l 13. Mobility Agreement, VA Form 10-0491m OMB Control Number: 2900-0793. Type of Review: Revision of a currently approved collection. Abstract: The information required determines the eligibility or suitability of an applicant desiring to receive an award under the provisions of 38 U.S.C. 7601 through 7619, and 38 U.S.C. 7501 through 7505. The information is needed to apply for the VA Health Professional Scholarship Program or Visual Impairment and Orientation and Mobility Professional Scholarship Program. The VA Health Professional Scholarship Program awards scholarships to students receiving education or training in a direct or indirect healthcare services discipline to assist in providing an adequate supply of such personnel for VA and for the United States. The Visual Impairment and Orientation and Mobility Professional Scholarship Program awards scholarships to students pursuing a program of study leading to a degree in visual impairment or orientation and mobility in order to increase the supply of qualified blind rehabilitation specialists for VA and the Nation. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published at 83 FR 16925 on April 17, 2018, pages 16925 through 16927. Affected Public: Individuals or Households. Estimate of the Hour Burden for the Collection of Information VA Forms: Number of respondents × Number of responses Equals × Number of minutes Equals (minutes) ÷ by 60 = Number of hours Applicants 10-0491g—Application 1,500 1 1,500 60 90,000 1,500 10-0491—Academic Verification 1,500 1 1,500 60 90,000 1,500 10-0491e—Evaluation & Recommendation 1,500 2 3,000 50 150,000 2,500 10-0491a—Addendum to Application 450 (30%) 1 450 10 4,500 75 Total 5,575 Applicants Selected To Receive a Scholarship 10-0491m—Mobility Agreement 30 1 30 10 300 5 10-0491l—Agreement for the VIOMPSP 30 1 30 15 450 8 10-0491k—VA Scholarship Offer Response 30 1 30 10 300 5 10-0491i—Notice of Change and/or Annual Academic Status Report 30 1 30 20 600 10 10-0491h—Notice of Approaching Graduation 30 1 30 10 300 5 10-0491d—Education Program Completion Notice/Service Obligation Placement 30 1 30 20 600 10 10-0491j—Request for Deferment for Advanced Education 6 1 6 10 60 1 10-0491c—Annual VA Employment/Deferment Verification 30 1 24 10 240 4 Total 48 Grand Total for VIOMPSP 5,623 Health Professional Scholarship Program (HPSP): Applicants 10-0491g—Application 5,000 1 5,000 60 300,000 5,000 10-0491—Academic Verification 5,000 1 5,000 60 300,000 5,000 10-0491e—Evaluation & Recommendation 5,000 2 10,000 50 500,000 8,333 10-0491a—Addendum to Application 1,500 (30%) 1 1,500 10 15,000 250 Total 18,583 Applicants Selected To Receive a Scholarship 10-0491m—Mobility Agreement 100 1 100 10 1,000 17 10-0491f—Agreement for the HPSP 100 1 100 15 1,500 25 10-0491k—VA Scholarship Offer Response 100 1 100 10 1,000 17 10-0491i—Notice of Change and/or Annual Academic Status Report 100 1 100 20 2,000 33 10-0491h—Notice of Approaching Graduation 100 1 100 10 1,000 17 10-0491d—Education Program Completion Notice/Service Obligation Placement 100 1 100 20 2,000 33 10-0491j—Request for Deferment for Advanced Education 20 1 20 10 200 3 10-0491c—Annual VA Employment/Deferment Verification 80 1 80 10 800 13 Total 158 Grand Total for HPSP 18,741 Grand total for both VIOMPSP and HPSP 24,364 By direction of the Secretary. Cynthia D. Harvey-Pryor, Department Clearance Officer, Office of Quality, Privacy and Risk, Department of Veterans Affairs. [FR Doc. 2018-15638 Filed 7-20-18; 8:45 am] BILLING CODE 8320-01-P --- Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A2018-15638. Public record. Not legal advice.