Information Collection

Application for Refund of Educational Contributions

IC 28505 under ICR 202305-2900-008 · OMB 2900-0261.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-5281 Application for Refund of Educational Contributions	Form
22-5281 Application for Refund of Educational Contributions VA Form 22-5281 (OMB Exp. 9-30-23).pdf www.va.gov/vaforms	Form
22-5281 Application for Refund of Educational Contributions VA Form 22-5281 (OMB Exp. 9-30-23).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0261

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-5281	Application for Refund of Educational Contributions	VA Form 22-5281 (OMB Exp. 9-30-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: 58VA21/22/28, Compensation, Pension, Education, and Veteran Readiness and Employment Records - VA

FR Citation: 84 FR 4138

Number of Respondents: 3,620

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,620	3,553	67
Annual IC Time Burden (Hours)	603	592	11
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.