Information Collection

Application for Survivors' and Dependents' Educational Assistance (Under Provisions of Chapter 35, Title 38, U.S.C.)

IC 28269 under ICR 201410-2900-002 · OMB 2900-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0098 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-5490 Application for Survivors' and Dependents' Educational Assistance (Under Provisions of Chapter 35, Title 38, U.S.C.) Form
VA Form 22-5490 Dependents' Application For VA Education Benefits 22-5490(Draft3).pdf www.va.gov/vaforms and www.benefits.va.gov/gibill Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Survivors' and Dependents' Educational Assistance (Under Provisions of Chapter 35, Title 38, U.S.C.)	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 21.3030

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-5490	Dependents' Application For VA Education Benefits	22-5490(Draft3).pdf	www.va.gov/vaforms and www.benefits.va.gov/gibill	Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 89,574	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	89,574	51,970	37,604
Annual IC Time Burden (Hours)	52,251	29,974	22,277
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.