Dependents' Application for VA Education Benefits (Under Provisions of Chapter 33 and 35, Title 38, U.S.C.) (VA Form 22-5490)

ICR 202109-2900-010

OMB: 2900-0098

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2021-12-17
Supplementary Document
2021-10-14
Supporting Statement A
2021-10-14
IC Document Collections
IC ID
Document
Title
Status
28269 Modified
ICR Details
2900-0098 202109-2900-010
Received in OIRA 202007-2900-016
VA VBA-EDU-YA
Dependents' Application for VA Education Benefits (Under Provisions of Chapter 33 and 35, Title 38, U.S.C.) (VA Form 22-5490)
Reinstatement with change of a previously approved collection   No
Regular 12/17/2021
  Requested Previously Approved
36 Months From Approved
63,807 0
47,855 0
0 0

Spouses, surviving spouses, and children of veterans or servicemembers must submit evidence to establish basic eligibility for and entitlement to Survivors' and Dependents' Educational Assistance (DEA) under chapter 35, title 38, U. S. C. VA Form 22-5490 serves as the procedural requirement for these applicants to apply to the Department of Veterans Affairs (VA) for DEA benefits. VA claims examiners use the information from this collection to help determine whether an applying individual qualifies for DEA or Fry Scholarship benefits. The information will also be used to determine if the program of education the applicant wishes to pursue is approved for educational assistance. The information on the form can be obtained only from the claimant, and a determination cannot be made without the information.

US Code: 38 USC 5101 Name of Law: Claims and forms
   US Code: 38 USC 5102 Name of Law: Application forms furnished upon request; notice to claimants of incomplete applications
   PL: Pub.L. 113 - 146 701-702 Name of Law: Veterans Access, Choice, and Accountability Act of 2014
   US Code: 38 USC 5103 Name of Law: Notice to claimants of required information and evidence
   US Code: 38 USC 5113 Name of Law: Effective dates of educational benefits
   US Code: 38 USC 3513 Name of Law: Veterans' Benefits (dependent application)
  
None

Not associated with rulemaking

  86 FR 57000 10/13/2021
86 FR 71706 12/17/2021
No

1
IC Title Form No. Form Name
Dependents' Application for VA Education Benefits 22-5490 Dependents' Application for VA Education Benefits

  Total Request 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 63,807 0 0 12,826 0 50,981
Annual Time Burden (Hours) 47,855 0 0 18,115 0 29,740
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The renewal for this information collection results in a slight increase in burden hours for the periods 2018, 2019 and 2021 due to a decrease in the number of applications received.

$167,226
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 maribel.aponte@va.gov

  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.
12/17/2021


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