Information Collection

Enrollment Certification

IC 28218 under ICR 200308-2900-011 · OMB 2900-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0073 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Enrollment Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	22-1999-2	Yes	Yes
Form	22-1999-5	Yes	Yes
Form	22-1999-4	Yes	Yes
Form	22-1999-6	Yes	Yes
Form	22-1999	Yes	Yes
Form	22-1999-3	Yes	Yes
Form	22-1999-1	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,180	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	916,160	115,670	74,688	725,802
Annual IC Time Burden (Hours)	137,424	10,000	6,457	120,967
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.