Information Collection

35% Exemption Request From 85/15 Reporting Requirement

IC 270529 under ICR 202408-2900-015 · OMB 2900-0896.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-10216 35% EXEMPTION REQUEST FROM 85/15 REPORTING REQUIREMENT	Form
22-10216 35% EXEMPTION REQUEST FROM 85/15 REPORTING REQUIREMENT VBA-22-10216-ARE.pdf www.va.gov/vaforms	Form
22-10216 35% EXEMPTION REQUEST FROM 85/15 REPORTING REQUIREMENT VBA-22-10216-ARE.pdf www.va.gov/vaforms	Form

IC Title:

35% EXEMPTION REQUEST FROM 85/15 REPORTING REQUIREMENT

Agency IC Tracking Number:

2900-0896

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 38 CFR 21.4201

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	22-10216	35% EXEMPTION REQUEST FROM 85/15 REPORTING REQUIREMENT	VBA-22-10216-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

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

FR Citation: 84 FR 4138

Number of Respondents: 2,822

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
Annual Number of Responses for this IC	2,822	2,822
Annual IC Time Burden (Hours)	1,411	1,411
Annual IC Cost Burden (Dollars)	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.