Va Form 22-6553d-1 - Monthly Certification Of On-The-Job And Apprenticeship Training Page 2
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2PRIVACY ACT INFORMATION: VA will not disclose information collected on this form other than what has been
authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (e.g., VA sends
educational forms or letters with a veteran's identifying information to the veteran's school or training establishment to (1)
assist the veteran in the completion of claims forms or (2) for VA to obtain further information as may be necessary from
the school for VA to properly process the veteran's education claim or to monitor his or her progress during training) as
identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education and Vocational Rehabilitation
Records - VA, published in the Federal Register. Your obligation to respond is "required to obtain or retain benefits." VA
cannot determine your eligibility for further educational benefits and the proper rate payable without your completing this
information. While you are not required to respond, we cannot pay you any further education benefits until we receive this
information. Your responses are confidential (38 U.S.C. 5701). The information you send may be verified through
computer matching programs with other agencies.
RESPONDENT BURDEN: We need this information to determine eligibility to benefits under this program and, if
applicable, the amount due. Title 38, United States Code, allows us to ask for this information. We estimate that you will
need an average of 10 minutes to review the instructions, find the information, and complete this form. VA cannot conduct
or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to
a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB
Internet Page at If desired, you can call
1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this form. (Call
711, Federal Relay, if you use the Telecommunications Device for the Deaf (TDD)).
VA FORM 22-6553d-1, JUL 2012
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