Application for Reimbursement of Licensing or Certification Test Fees

Application for Reimbursement of Licensing or Certification Test Fees (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⚠️ Notice: This information collection may be referencing outdated material.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 VA Form 22-0803 Application for Reimbursement of Licensing or Certification Test Fees Form
VA Form 22-0803 Application for Reimbursement of Licensing or Certificat 22-0803.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 21.7140(c)(4) 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	VA Form 22-0803	Application for Reimbursement of Licensing or Certification Test Fees	22-0803.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,631	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	1,631	-2,369	4,000
Annual IC Time Burden (Hours)	408	-592	1,000
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.