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Federal forms, ICRs, and supporting documents

Information Collection

Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.)

IC 28273 under ICR 201807-2900-006 · OMB 2900-0099.

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

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Dependents' Request for Change of Program or Place of Training (Under Provisions of Chapter 33 and 35, Title 38 U.S.C.)
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 21.4234

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 22-5495 Dependents' Request for Change of Program or Place of Training 22-5495(7-17-18).pdf Yes Yes Fillable Fileable

Education Higher Education

Compensation, Pension, Education and Vocational Rehabilitation and Employment Records – VA (58VA21/22/28)  75 FR 22187

144,333 0
   
Individuals or Households
 
   20 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 144,333 0 0 0 0 144,333
Annual IC Time Burden (Hours) 36,083 0 0 0 0 36,083
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.