Information Collection

Enrollment Certification

IC 28217 under ICR 200007-2900-005 · OMB 2900-0073.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Enrollment Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	22-1999-1	Yes	Yes
Form	22-1999	Yes	Yes
Form	22-1999-2	Yes	Yes
Form	22-1999-3	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,514	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	725,802	63,734	662,068
Annual IC Time Burden (Hours)	120,967	10,623	110,344
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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