Information Collection

Certificate of Delivery of Advance Payment and Enrollment

IC 28544 under ICR 201604-2900-012 · OMB 2900-0325.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0325 can be found here:

Documents and Forms

Document Name Document Type
Form 22-1999v Certificate of Delivery of Advance Payment and Enrollment Form
22-1999v Certificate of Delivery of Advance Payment and Enrollmen VA Form 22-1999v (3-11-16).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certificate of Delivery of Advance Payment and Enrollment	Agency IC Tracking Number:	2900-0325 VBA-EDU-YM

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.5135 38 CFR 21.4138(a) 38 CFR 21.5200(d) 38 CFR 21.5292(e)(2) 38 CFR 21.7151(b) 38 CFR 21.4203(a) and (d) 38 CFR 21.7640(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-1999v	Certificate of Delivery of Advance Payment and Enrollment	VA Form 22-1999v (3-11-16).pdf		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 333	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,465	765	700
Annual IC Time Burden (Hours)	122	64	58
Annual IC Cost Burden (Dollars)	0	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.