Application For VA Educational Benefits (VA Forms 22-1990, 22-1990e, 22-1990n)

Forms and Documents

Document Name	Status
Form VA Form 22-1990 Application for VA Education Benefits Form	Modified
2019-23439.pdf Supplementary Document	2019-11-04
SupportingState(2900-0154).docx Supporting Statement A	2019-08-13
2019-17147.pdf Supplementary Document	2019-08-13

IC Document Collections

IC ID	Document Title	Status
28383	Application for VA Education Benefits Form	Modified

ICR Details

OMB Control No: 2900-0154	ICR Reference No: 201908-2900-004
Status: Historical Active	Previous ICR Reference No: 201511-2900-006
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-NK
Title: Application For VA Educational Benefits (VA Forms 22-1990, 22-1990e, 22-1990n)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/14/2020
	Date Received in OIRA: 12/01/2019
Terms of Clearance: Approval is granted contingent on the requirement that VA complete the following tasks within 3 months of approval. Submit non-substantive changes for the following items: 1. Changing references to the "Department of Treasury" to the "Department of the Treasury", 2. Modifying "Your obligation to respond is required to obtain or retain education benefits" to "Your response is required to obtain or retain education benefits" in the Privacy Act Statements, and 3. Uploading screenshots of any electronic version of these forms. VA shall also not deny consider any form under this collection or deny related benefits on the basis that the applicant does not have a mailing address.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved	02/29/2020
Responses	807,296	0	859,522
Time Burden (Hours)	248,916	0	214,881
Cost Burden (Dollars)	0	0	0

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Abstract: Veterans, servicepersons and members of the reserves submit these forms (VA Forms 22-1990, 22-1990E, 22-1990N) to apply for education benefits under chapters 30, 32, and 33 of title 38 U.S.C.; chapters 1606 and 1607 of title 10, U.S.C.; and section 903 of PL 96-342. VA uses this information to determine eligibility for education benefits.

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Authorizing Statute(s): US Code: 38 USC 3323 Name of Law: Administration
   US Code: 38 USC 5101(a) Name of Law: Claims and Forms
   PL: Pub.L. 96 - 342 903 Name of Law: DoD Authorization Act 1981
   US Code: 10 USC 16136(b) Name of Law: Administration of Program
   US Code: 10 USC 16166(b) Name of Law: Administration of Program
   US Code: 38 USC 3034 Name of Law: Program Administration
   US Code: 38 USC 3241 Name of Law: Requirements
   US Code: 38 USC 3323 Name of Law: Applications; approval
   PL: Pub.L. 107 - 314 531 Name of Law: Enlistment, Education, and Training Programs
   PL: Pub.L. 107 - 107 654 Name of Law: Transfer of Entiltement to Educational Assistance Under
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 17147	08/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 23439	10/28/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for VA Education Benefits	VA Form 22-1990, VA Form 22-1990e, VA Form 22-1990n	Application for Education Benefits ,   Application for Family Member to Use Transferred Benefits ,   Application for Education Benefits Under the National Call To Service (NCS) Program

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ICR Summary 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	807,296	859,522	0	-52,226	0	0
Annual Time Burden (Hours)	248,916	214,881	0	34,035	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase is due to an increase in the number of VA Form 22-1990 forms being received.

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Annual Cost to Federal Government: $15,446,599

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/01/2019

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