Information Collection

Application for Reimbursement of Licensing or Certification Test Fees; 38 CFR 21.1030(b), 21.7140(c)(4)

IC 178409 under ICR 200701-2900-014 · OMB unassigned.

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IC Title:

Application for Reimbursement of Licensing or Certification Test Fees; 38 CFR 21.1030(b), 21.7140(c)(4)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,361

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6,361	6,361	0
Annual IC Time Burden (Hours)	1,590	0	1,590
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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