Application for Reimbursement of National Exam Fee (VA Form 22-0810)

OMB Control No: 2900-0706	ICR Reference No: 202410-2900-028
Status: Active	Previous ICR Reference No: 202410-2900-005
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: 01/17/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/17/2025
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	01/31/2028	36 Months From Approved	12/31/2026
Responses	310	0	230
Time Burden (Hours)	78	0	57
Cost Burden (Dollars)	161	0	120

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Abstract: Servicemembers, veterans, and eligible dependents applying for reimbursement of national exam fees will use VA Form 22-0810 to provide information necessary to process their claim. VA will use the information collected to determine whether the claimant qualifies to receive reimbursement for a claimed national test, and if so, the amount of the reimbursement of the fee charged.

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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

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AQ88	Final or interim final rulemaking	90 FR 5324	01/16/2025

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Application for Reimbursement of National Exam Fee 22-0810 Application for Reimbursement of National Exam Fee

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ICR Summary of Burden

	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	310	230	0	80	0	0
Annual Time Burden (Hours)	78	57	0	21	0	0
Annual Cost Burden (Dollars)	161	120	0	41	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The burden has increased since the previous approval due to a provision in the associated rulemaking, RIN 2900-AQ88, which constituted an increase in the estimated number of respondents, resulting in an increase in the reporting burden hours.

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Annual Cost to Federal Government: $2,523

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: Nancy Kessinger 202 632-8924 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 01/17/2025

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