Information Collection

Application for Survivors' and Dependents' Educational Assistance (Under Provisions of Chapter 35, Title 38, U.S.C.)

IC 28269 under ICR 201411-2900-012 · OMB 2900-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0098 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-5490 Application for Survivors' and Dependents' Educational Assistance (Under Provisions of Chapter 35, Title 38, U.S.C.) Form
VA Form 22-5490 Dependents' Application For VA Education Benefits 22-5490(1-22-15).pdf www.va.gov/vaforms and www.benefits.va.gov/gibill Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Survivors' and Dependents' Educational Assistance (Under Provisions of Chapter 35, Title 38, U.S.C.)	Agency IC Tracking Number:	2900-0098

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.3030

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-5490	Dependents' Application For VA Education Benefits	22-5490(1-22-15).pdf	www.va.gov/vaforms and www.benefits.va.gov/gibill	Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 89,574	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	89,574	89,574
Annual IC Time Burden (Hours)	52,251	52,251
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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