View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2900-0706	ICR Reference No: 202308-2900-009
Status: Historical Active	Previous ICR Reference No: 202010-2900-002
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-KM
Title: Application for Reimbursement of National Exam Fee (VA Form 22-0810)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/19/2023
	Date Received in OIRA: 11/16/2023
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2026	36 Months From Approved	12/31/2023
Responses	230	0	297
Time Burden (Hours)	57	0	74
Cost Burden (Dollars)	120	0	154

Authorizing Statute(s): US Code: 38 USC 3032(g((1) Name of Law: Limitations on educational assistance for certain individuals
   US Code: 10 USC 1606 Name of Law: Educational assistance for members of the selected reserve
   US Code: 10 USC 501 Name of Law: Enlistment incentives for pursuit of skills to facilitate
   US Code: 38 USC 3232(d) Name of Law: Duration; Limitations
   US Code: 10 USC 16131 Name of Law: Educational assistance for members of the selected reserve
   PL: Pub.L. 108 - 454 106 Name of Law: Veterans Improvement Act of 2004
   US Code: 38 USC 3532(g)(1) Name of Law: Computation of Educational Assistance Allowance
   US Code: 38 USC 5101 Name of Law: Claims and forms

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	230	297	-67
Annual Time Burden (Hours)	57	74	-17
Annual Cost Burden (Dollars)	120	154	-34

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden has decreased since the previous approval due to a reduction in the number of average annual national examination fees reimbursed for periods 2020, 2021 and 2022. This information collection request has been entered into ROCIS as a “Revision” due to a decrease in the burden hours.

Annual Cost to Federal Government: $1,783

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Danny Green 202 421-1354 danny.green2@va.gov

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