Dependents' Application for VA Education Benefits

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

⚠️ Notice: This information collection may be referencing outdated material.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 22-5490 Dependents' Application for VA Education Benefits Form
22-5490 Dependents' Application for VA Education Benefits VA Form 22-5490 (OMB Expiring 10-31-21).pdf www.va.gov/vaforms Form
22-5490 Dependents' Application for VA Education Benefits VA Form 22-5490 (OMB Expiring 10-31-21).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Dependents' Application for VA Education Benefits	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	22-5490	Dependents' Application for VA Education Benefits	VA Form 22-5490 (OMB Expiring 10-31-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: COMPENSATION, PENSION, EDUCATION AND VETERAN READINESS AND EMPLOYMENT RECORDS - VA (58VA21/22/28)	FR Citation: 84 FR 4138

Number of Respondents: 63,807	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	63,807	12,826	50,981
Annual IC Time Burden (Hours)	47,855	18,115	29,740
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.