Application for Reimbursement of Licensing or Certification Test Fees

Application for Reimbursement of Licensing or Certification Test Fees (VA Form 22-0803)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0695 can be found here:

Documents and Forms

Document Name Document Type
Form VBA-22-0803 Application for Reimbursement of Licensing or Certification Test Fees Form
VBA-22-0803 Application for Reimbursement of Licensing or Certificat VBA-22-0803-ARE(10-21-2021).pdf www.va.gov/vaforms Form
VBA-22-0803 Application for Reimbursement of Licensing or Certificat VBA-22-0803-ARE(10-21-2021).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Reimbursement of Licensing or Certification Test Fees	Agency IC Tracking Number:	2900-0695

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.1030 38 CFR 21.7140(c)(4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VBA-22-0803	Application for Reimbursement of Licensing or Certification Test Fees	VBA-22-0803-ARE(10-21-2021).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Compensation, Pension, Education and Veteran Readiness and Employment Records – VA (58VA21/22/28)	FR Citation: 84 FR 4138

Number of Respondents: 4,202	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	4,202	1,561	2,641
Annual IC Time Burden (Hours)	1,050	390	660
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.