Application for Reimbursement of National Exam Fee

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0706 can be found here:

Documents and Forms

Document Name Document Type
Form 22-0810 Application for Reimbursement of National Exam Fee Form
22-0810 Application for Reimbursement of National Exam Fee $RY1SZ31.docx www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Reimbursement of National Exam Fee	Agency IC Tracking Number:	2900-0706

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 21.1030

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-0810	Application for Reimbursement of National Exam Fee	$RY1SZ31.docx	www.va.gov/vaforms	Yes	No	Fillable Fileable

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: 85 FR 13441

Number of Respondents: 297	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	297	87	210
Annual IC Time Burden (Hours)	74	21	53
Annual IC Cost Burden (Dollars)	154	45	109

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.