Information Collection Request

VA Enrollment Certification (22-1999)

ICR 201409-2900-013 · OMB 2900-0073 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 22-1999 VA Enrollment Certification Form Modified Available
30-Day FRN (2900-0073)(1-20-15).pdf Supplementary Document Uploaded 2015-01-20 Available
60-Day FRN (2900-0073)(10-7-14).pdf Supplementary Document Uploaded 2014-12-15 Available
2900-0073 Supporting Statement_Final 4-22-15.docx Supporting Statement A Uploaded 2015-04-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
28218 VA Enrollment Certification Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved 07/31/2015
2,848,886 0 1,709,574
474,814 0 239,340
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
VA Enrollment Certification 22-1999 VA Enrollment Certification

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,848,886 1,709,574 0 1,139,312 0 0
Annual Time Burden (Hours) 474,814 239,340 0 235,474 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No