Veteran/beneficiary Claim For Reimbursement Of Travel Expenses

Beneficiary Travel Mileage Reimbursement Application Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0798 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 10-3542 VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EXPENSES Form and Instruction
VA Form 10-3542 VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EX VA Form 10-3542 fill 6-2013.pdf To Be Determined FY 2014 Form and Instruction

Information Collection (IC) Details

IC Title:	VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EXPENSES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA Form 10-3542	VETERAN/BENEFICIARY CLAIM FOR REIMBURSEMENT OF TRAVEL EXPENSES	VA Form 10-3542 fill 6-2013.pdf	To Be Determined FY 2014	No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,450,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	11,600,000	11,600,000
Annual IC Time Burden (Hours)	580,000	580,000
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.