OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Dependent's Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.) (VA Form 22-5495)

ICR 201509-2900-001 · OMB 2900-0099 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 22-5495 Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.) Form Modified Available
2900-0099SupportState.docx Supporting Statement A Uploaded 2016-09-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28273 Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.) Form Modified
ICR Details
2900-0099 201509-2900-001
Historical Active 201406-2900-033
VA VBA-EDU-NK
Dependent's Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.) (VA Form 22-5495)
Revision of a currently approved collection   No
Regular
Approved with change 09/12/2016
Retrieve Notice of Action (NOA) 03/22/2016
  Inventory as of this Action Requested Previously Approved
09/30/2019 36 Months From Approved 11/30/2016
144,333 0 144,333
36,083 0 36,083
0 0 0
Surviving spouses, spouses, and children of veterans send VA the VA Form 22-5495 to apply for a change of their program of education and/or a new place of training under 38 U.S.C. chapter 35. VA uses the information on the form to determine the current eligibility of the claimant for educational assistance for the new program of education or new place of training.
US Code: 38 USC 3034(a) Name of Law: Program Administration
   US Code: 38 USC 3323(a) Name of Law: Administration
   US Code: 38 USC 3521 Name of Law: Approval of Application
   US Code: 38 USC 3691 Name of Law: Change of Program
   US Code: 38 USC 3513 Name of Law: Application
  
None
Not associated with rulemaking
  80 FR 29723 11/23/2015
81 FR 3287 02/18/2016
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 144,333 144,333 0 0 0 0
Annual Time Burden (Hours) 36,083 36,083 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$929,859
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/22/2016