Information Collection

Enrollment Certification

IC 28218 under ICR 200609-2900-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 22-1999 Enrollment Certification	Form
2900-0073 22-1999 attch 1.pdf vaonce.vba.va.gov/vaonce_student/default.asp	Other-VA-ONCE
22-1999 VA Enrollment Certification 2900-0073 22-1999.pdf www.gibill.va.gov/School_Info/once/index.htm	Form

IC Title:

Enrollment Certification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-1999	VA Enrollment Certification	2900-0073 22-1999.pdf	http://www.gibill.va.gov/School_Info/once/index.htm	Yes	Yes	Fillable Printable
Other-VA-ONCE			2900-0073 22-1999 attch 1.pdf	https://vaonce.vba.va.gov/vaonce_student/default.asp	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,109,129

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,109,129	47,797	145,172	916,160
Annual IC Time Burden (Hours)	158,975	5,338	16,213	137,424
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
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.