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Federal forms, ICRs, and supporting documents

Information Collection Request

Dependents' Educational Assistance (DEA) Election Request (FL 22-909)

ICR 201602-2900-034 · OMB 2900-0703 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA FL 22-909 Dependents' Educational Assistance (DEA) Election Request Form Modified Available
Justification 2900-0703 Clean.docx Supporting Statement A Uploaded 2017-04-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
181094 Dependents' Educational Assistance (DEA) Election Request Form Modified
ICR Details
2900-0703 201602-2900-034
Historical Active 201302-2900-011
VA VBA-EDU-NK
Dependents' Educational Assistance (DEA) Election Request (FL 22-909)
Revision of a currently approved collection   No
Regular
Approved with change 04/26/2017
Retrieve Notice of Action (NOA) 11/02/2016
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved 04/30/2017
384 0 735
96 0 184
0 0 0
The VA FL 22-909 is used to request an election of the eligibility period beginning date from dependents of veterans who qualify under DEA (38 U.S.C. chapter 35). Statute requires VA to provide some dependents the right to elect the beginning date. This election is not mandatory, but may benefit the dependent.
US Code: 38 USC 3512(a) and (b) Name of Law: Periods of eligibility
  
None
Not associated with rulemaking
  81 FR 15985 07/06/2016
81 FR 24155 10/06/2016
No
1
IC Title Form No. Form Name
Dependents' Educational Assistance (DEA) Election Request VA FL 22-909 Dependents' Educational Assistance (DEA) Election Request
  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 384 735 0 -351 0 0
Annual Time Burden (Hours) 96 184 0 -88 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The decrease in burden hours is due to a decrease in the number of individuals applying for DEA benefits.
$1,702
No
No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/02/2016