APPLICATION FOR REIMBURSEMENT OF PREPARATORY (PREP)COURSE FOR LICENSING OR CERTIFICATION TEST (VA Form 22-10272)

Forms and Documents

Document Name	Status
Form 22-10272 APPLICATION FOR REIMBURSEMENT OF PREPARATORY (PREP) COURSE FOR LICENSING OR CERTIFICATION TEST Form	Modified
30-Day FRN - 2900-0892 (2021).pdf Supplementary Document	2021-11-16
60 Day Federal Register Notice - Actual 3YR.pdf Supplementary Document	2021-09-08
White Paper for Prep.pdf Supplementary Document	2021-07-30
SUPPORTING STATEMENT UPDATED WITH VA RESPONSE.docx Supporting Statement A	2021-11-10

IC Document Collections

IC ID	Document Title	Status
248496	APPLICATION FOR REIMBURSEMENT OF PREPARATORY (PREP) COURSE FOR LICENSING OR CERTIFICATION TEST Form	Modified

ICR Details

OMB Control No: 2900-0892	ICR Reference No: 202108-2900-006
Status: Received in OIRA	Previous ICR Reference No: 202107-2900-008
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-YA
Title: APPLICATION FOR REIMBURSEMENT OF PREPARATORY (PREP)COURSE FOR LICENSING OR CERTIFICATION TEST (VA Form 22-10272)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/16/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2022
Responses	285	285
Time Burden (Hours)	71	71
Cost Burden (Dollars)	0	0

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Abstract: The information collection will be utilized to permit beneficiaries to apply for reimbursement of approved preparatory courses. This new form has been created as, “Application for Reimbursement of Preparatory Course for Licensing or Certification Test”, VA Form 22-10272. VA will use data from this information collection to ensure eligible Post 9/11 GI Bill (chapter 33) and Survivors’ and Dependents’ Educational Assistance (DEA or chapter 35) can receive payment for attending the approved preparatory course. Without approval of this form, eligible beneficiaries may be harmed due to the inability to apply for the reimbursement they may be rightly entitled to pursuant to 38 U.S. Code § 3315B.

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Authorizing Statute(s): PL: Pub.L. 116 - 154 5 Name of Law: Ryan Kules and Paul Benne Specially Adaptive Housing Improvement Act of 2019
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 50211	09/07/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 63454	11/16/2021
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 PREPARATORY (PREP) COURSE FOR LICENSING OR CERTIFICATION TEST	22-10272	APPLICATION FOR REIMBURSEMENT OF PREPARATORY (PREP) COURSE FOR LICENSING OR CERTIFICATION TEST

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ICR Summary of Burden

	Total Request	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	285	285	0	0	0	0
Annual Time Burden (Hours)	71	71	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $2,756

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.     No

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

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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: 11/16/2021

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