Application for Refund of Educational Contributions

Application for Refund of Educational Contributions (VA Form 22-5281)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0261 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-5281 Application for Refund of Educational Contributions Form
VA Form 22-5281 Application for Refund of Educational Contributions 22-528.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Refund of Educational Contributions	Agency IC Tracking Number:	2900-0261

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-5281	Application for Refund of Educational Contributions	22-528.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records	FR Citation: 84 FR 26958

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	67	-394	461
Annual IC Time Burden (Hours)	11	-66	77
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.