Form 22 8690 PDF Details

The VA Form 22-8690 plays a crucial role in the administration of the Work-Study Program under the United States Department of Veterans Affairs. It serves as a time record, meticulously documenting the hours that a participating student dedicates to their work-study employment. This form is not just a mere administrative requirement; it ensures that students engaged in valuable work-study programs are accurately compensated for their time and effort. With specific sections for agreement control numbers, student and supervisor information, and a detailed schedule of hours worked, the form captures the essence of the work-study commitment. It also includes a section for remarks which can be used to note any changes or additional information pertinent to the student's employment or hours worked. The effectiveness of the VA Form 22-8690 lies in its design to affirm the student's eligibility for continued work-study benefits and to calculate the correct payment amount. The certification section is crucial, requiring the supervisor's signature to verify the accuracy of the recorded hours and the satisfactory performance of work-study duties, ensuring compliance and integrity within the program. Privacy considerations and respondent burden are addressed, underlining the importance of confidentiality and the minimal time required to complete the form, emphasizing its user-oriented approach. The form reflects a structured process tailored to support the educational and financial needs of students working under the VA's auspices, facilitating a streamlined workflow that benefits both the students and the supervising staff.

QuestionAnswer
Form NameForm 22 8690
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesva 22 8690 form, va form 2 8690, dd form 22 8690, va 8690

Form Preview Example

 

 

 

 

 

OMB Approval No. 2900-0379

 

 

 

 

 

Respondent Burden: 5 minutes

 

 

 

 

 

 

 

 

 

 

TIME RECORD (WORK-STUDY PROGRAM)

 

 

 

 

 

1. AGREEMENT CONTROL NUMBER

2. NAME OF STUDENT

3. FILE NUMBER (If Ch. 35, include prefix)

 

 

 

 

 

 

 

4. APPROVED PERIOD OF EMPLOYMENT (Month, day, year)

5. TOTAL NO. OF HOURS TO BE WORKED

 

 

A. FROM

 

 

 

B. TO

 

 

 

 

 

 

 

INSTRUCTIONS: Use Item 8, Remarks, to show changes in Items 6A and 6B. Include effective dates.

6A. PLACE OF EMPLOYMENT

6B. NAME OF SUPERVISOR

6C. MAILING ADDRESS OF SUPERVISOR

6D. TELEPHONE NO. OF SUPERVISOR

(Include Area Code)

( )

7. SCHEDULE OF HOURS WORKED

DATE

NO. OF HOURS

CUMULATIVE

TO DATE

INITIALS

STUDENT SUPV.

DATE

NO. OF HOURS

CUMULATIVE

TO DATE

INITIALS

STUDENT SUPV.

8. REMARKS

CERTIFICATION

By signing below, I certify that this schedule of hours worked is true and accurate to the best of my ability. If this work-study student was pursuing a program of work-study services at a non-VA site under my supervision, I also certify that this individual performed only appropriate work-study duties as outlined in the approved position description and that he or she performed these duties in a satisfactory manner.

9A. SIGNATURE OF WORK-STUDY SUPERVISOR

9B. DATE SIGNED

VA FORM

22-8690

EXISTING STOCKS OF VA FORM 22-8690, MAR 2004,

JAN 2007

WILL BE USED.

PRIVACY ACT INFORMATION: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses as identified in the VA system of records, 58VA21/22, Compensation, Pension, Education and Rehabilitation Records - VA, published in the Federal Register. An example of a routine use (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). Your obligation to respond is "required to obtain or retain education benefits." While you do not have to respond, VA cannot pay the work-study student any further work-study benefits (payment for hours completed in a work-study program) until we receive this information. The responses you submit are considered confidential (38 U.S.C. 5701). Any information provided by applicants, recipients, and others may be subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: We need this information to determine the student’s continued eligibility for work-study benefits and the proper amount payable. (38 U.S.C. section 3485). Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 5 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 www.whitehouse.gov/omb/library/OMBINV.EPA.html#VA. 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.

VA FORM 22-8690 JAN 2007