Va Form 22-5495 2900-0099

Non-Substantive Change

OMB Control Number 2900-0099

VA Form 22-5495

DEPENDENTS' REQUEST FOR CHANGE OF PROGRAM OR PLACE OF TRAINING

(Under Provisions of Chapters 33 and 35, Title 38, U.S.C.)

VA requests approval of a non-substantive revision to OMB control number 2900-0099, VA Forms 22-5495.

The Veterans Benefits Administration-Education Service has determined the St. Louis Regional Processing Office (RPO) will be repurposed effective October 1, 2020. Therefore, we are transferring their claims, files, folders, systems, and other related correspondence, to the Buffalo RPO, effective July 20, 2020.

As a result, we have identified several VA Forms that require revision updates to do following:

• Revise the jurisdiction chart to reflect the states assigned to the St. Louis RPO are now assigned to the Buffalo RPO.

• Revise any references to the chapter 1607 program. This program ended effective November 26, 2019.

• Revise to add a box to request the claimant’s Email Address (optional).

• Revise to remove any references to the St. Louis RPO address, or their PO Box.

• Revise, where necessary, to remove any references to any FAX numbers. VBA determined references to fax numbers must be completed by January 1, 2021.

Despite these necessary changes, Education Service remains poised to continue receiving claim related documents and forms either through paper mail or electronic submissions.