Information Collection

Certificate of Affirmation of Enrollment Agreement for Correspondence Course (Under Chapters 30, 32, & 35, Title 38 U.S.C. Section 903 of PL 96-342, or Chapter....

IC 28783 under ICR 200709-2900-013 · OMB 2900-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0576 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 22-1999c Certificate of Affirmation of Enrollment Agreement for Correspondence Course (Under Chapters 30, 32, & 35, Title 38 U.S.C. Section 903 of PL 96-342, or Chapter....	Form
VA Form 22-1999c Certificate of Affirmation of Enrollment Agreement for C 22-1999c.pdf www.va.gov/vaforms	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Certificate of Affirmation of Enrollment Agreement for Correspondence Course (Under Chapters 30, 32, & 35, Title 38 U.S.C. Section 903 of PL 96-342, or Chapter....

Agency IC Tracking Number:

2900-0576

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4256(b)(3)

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	VA Form 22-1999c	Certificate of Affirmation of Enrollment Agreement for Correspondence Course	22-1999c.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 952

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	952	-1,748	2,700
Annual IC Time Burden (Hours)	48	-87	135
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.