Certificate of Affirmation of Enrollment Agreement - Correspondence Course (VA Form 22-1999c)

ICR 202110-2900-008 · OMB 2900-0576 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0576 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form VA Form 22-1999c Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)	Form	Modified	Repair queued
2022-00006 (1).pdf	Supplementary Document	Uploaded 2022-01-06	Repair queued
SupportingStatement(2900-0576).docx	Supporting Statement A	Uploaded 2021-11-08	Repair queued
2021-24069.pdf	Supplementary Document	Uploaded 2021-11-08	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
28783	Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)	Form	Modified

ICR Details

OMB Control No: 2900-0576	ICR Reference No: 202110-2900-008
Status: Received in OIRA	Previous ICR Reference No: 201701-2900-001
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-NK
Title: Certificate of Affirmation of Enrollment Agreement - Correspondence Course (VA Form 22-1999c)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 01/06/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	69	0
Time Burden (Hours)	3	0
Cost Burden (Dollars)	0	0

Abstract: Education claimants taking correspondence courses must be notified that the law allows them a 5 day period to reflect on their decision to enroll in a correspondence course and determine whether that course is suitable to their abilities and interests. VA Form 22-1999c allows VA to determine if the claimant has been informed of the 5 day reflection period required by law.

Authorizing Statute(s): US Code: 10 USC 16136(b) Name of Law: Reserve Components
   US Code: 10 USC 16166(b) Name of Law: Program Management
   US Code: 38 USC 3686(b) Name of Law: Correspondence Courses

Citations for New Statutory Requirements: None

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

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 24069	11/04/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 6	01/06/2022
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)	VA Form 22-1999c	Certificate of Affirmation of Enrollment Agreement - Correspondence Course

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	69	-133	202
Annual Time Burden (Hours)	3	-31	34
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease in the annual reporting burden hours results from a significant decrease in the average number of respondents entering correspondence courses from 445 to 69 from 2017, 2018 and 2019.

Annual Cost to Federal Government: $100

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. Yes

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

Agency Contact: Maribel Aponte 202 266-4688 [email protected]

Common Form ICR: No