Application for Reimbursement of National Exam Fee (VA Form 22-0810)

ICR 201608-2900-004

OMB: 2900-0706

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2017-04-27
Supplementary Document
2017-04-07
Supplementary Document
2017-03-30
IC Document Collections
IC ID
Document
Title
Status
181234
Modified
ICR Details
2900-0706 201608-2900-004
Historical Active 201307-2900-014
VA VBA-EDU-NK
Application for Reimbursement of National Exam Fee (VA Form 22-0810)
Revision of a currently approved collection   No
Regular
Approved with change 07/17/2017
Retrieve Notice of Action (NOA) 05/09/2017
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 07/31/2017
210 0 360
53 0 90
109 0 187

Servicemembers, veterans, and eligible dependents applying for reimbursement of national exam fees will use VA Form 22-0810 to provide information necessary to process their claim.

US Code: 10 USC 1607 Name of Law: Educational assistance for reserve component members supporting contingency operations and certain o
   US Code: 10 USC 501 Name of Law: Enlistment incentives for pursuit of skills to facilitate
   US Code: 38 USC 3232(d) Name of Law: Duration; Limitations
   US Code: 10 USC 16131 Name of Law: Educational assistance for members of the selected reserve
   US Code: 10 USC 16162 Name of Law: Educational assistance for reserve component members supporting contingency operations and certain o
   PL: Pub.L. 108 - 454 106 Name of Law: Veterans Improvement Act of 2004
   US Code: 38 USC 3532(g)(1) Name of Law: Computation of Educational Assistance Allowance
   US Code: 38 USC 5101 Name of Law: Claims and forms
   US Code: 38 USC 3032(g((1) Name of Law: Limitations on educational assistance for certain individuals
   US Code: 10 USC 1606 Name of Law: Educational assistance for members of the selected reserve
  
None

Not associated with rulemaking

  82 FR 1750 01/26/2017
82 FR 6689 04/05/2017
No

1
IC Title Form No. Form Name
Application for Reimbursement of National Exam Fee VA Form 22-0810

  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 210 360 0 0 -150 0
Annual Time Burden (Hours) 53 90 0 0 -37 0
Annual Cost Burden (Dollars) 109 187 0 0 -78 0
No
Yes
Miscellaneous Actions
The number of annual burden hours has decreased due to a decline in the number of individuals applying for reimbursement of national test fees.

$1,400
No
No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@va.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/09/2017


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