Information Collection

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

IC 179084 under ICR 200703-2900-014 · OMB 2900-0695.

⚠️ Notice: This information collection may be referencing outdated material.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 VA form 22-0803 Application for Reimbursement of Licensing or Certification Test Fees, 38 CFR 21.1030(b), 21.7140(c)(4) Form
VA form 22-0803 Application for Reimbursement of Licensing or Certificat 2900-New VA Form 22-0803.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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 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	VA form 22-0803	Application for Reimbursement of Licensing or Certification Test Fees (38 USC Chapters 30,32, and 35; 10 U.S.C. Chapters 1606 and 1607)	2900-New VA Form 22-0803.pdf		No		Printable Only

Line of Business: Education

Subfunction: Higher Education

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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,361	6,361
Annual IC Time Burden (Hours)	1,590	1,590
Annual IC Cost Burden (Dollars)	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.