Information Collection

Claim for Reimbursement of Travel Expenses (VA Form 28-0968)

IC 212603 under ICR 202102-2900-003 · OMB 2900-0830.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0830 can be found here:

Documents and Forms

Document Name Document Type
Form VAF 28-0968 Claim for Reimbursement of Travel Expenses (VA Form 28-0968) Form and Instruction
VAF 28-0968 Claim for Reimbursement of Travel Expenses 28-0968-03042021.pdf www.va.gov/vaforms Form and Instruction
VAF 28-0968 Claim for Reimbursement of Travel Expenses 28-0968-03042021.pdf www.va.gov/vaforms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim for Reimbursement of Travel Expenses (VA Form 28-0968)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 21.370 38 CFR 21.372 38 CFR 21.376 38 CFR 21.374

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VAF 28-0968	Claim for Reimbursement of Travel Expenses	28-0968-03042021.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 58VA21/22/28	FR Citation: 84 FR 4138

Number of Respondents: 113,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	113,000	-16,000	129,000
Annual IC Time Burden (Hours)	9,417	-1,333	10,750
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.