Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.)

Dependent's Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.) (VA Form 22-5495)

OMB: 2900-0099

IC ID: 28273

Information Collection (IC) Details

View Information Collection (IC)

Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.)
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 21.4234

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 22-5495 Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.) VA Form 22-5495 (OMB Exp. 2-28-23).pdf www.va.gov/vaforms Yes No Fillable Printable

Education Higher Education

Compensation, Pension, Education and Veteran Readiness and Employment Records-VA (58VA21/22/28)  84 FR 4138

45,434 0
   
Individuals or Households
 
   80 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 45,434 0 -64,326 0 0 109,760
Annual IC Time Burden (Hours) 11,358 0 -16,082 0 0 27,440
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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