VA Enrollment Certification

VA Enrollment Certification (VA Form 22-1999)

Documents and Forms

Document Name Document Type
Form 22-1999 VA Enrollment Certification Form and Instruction
22-1999 VA Enrollment Certification VBA-22-1999-ARE 5-21-24.pdf www.va.gov/vaforms Form and Instruction
22-1999 VA Enrollment Certification VBA-22-1999-ARE 5-21-24.pdf www.va.gov/vaforms Form and Instruction

Information Collection (IC) Details

IC Title:	VA Enrollment Certification	Agency IC Tracking Number:	2900-0073

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.5200(d) 38 CFR 21.4203 38 CFR 21.7152 38 CFR 21.7652 38 CFR 21.9720

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	22-1999	VA Enrollment Certification	VBA-22-1999-ARE 5-21-24.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 (58/VA21/22/28)	FR Citation: 84 FR 4138

Number of Respondents: 3,799,847	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,799,847	-11,362,699	15,162,546
Annual IC Time Burden (Hours)	633,307	-1,893,784	2,527,091
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.