Information Collection Request

Certificate of Delivery of Advance Payment and Enrollment (VA Form 22-1999v)

ICR 201911-2900-001 · OMB 2900-0325 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 22-1999v Certificate of Delivery of Advance Payment and Enrollment Form Modified Available
WHITE PAPER Why ICR Expired and Reinstatement was Initiated2.docx Supplementary Document Uploaded 2020-07-16 Repair queued
30 Day FRN - 2900-0325 (2020).pdf Supplementary Document Uploaded 2020-07-15 Available
60-Day FRN - 2900-0325 (2019).pdf Supplementary Document Uploaded 2019-11-26 Available
2020 Supporting Statement.docx Supporting Statement A Uploaded 2020-07-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
28544 Certificate of Delivery of Advance Payment and Enrollment Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved
475 0 0
58 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Certificate of Delivery of Advance Payment and Enrollment 22-1999v Certificate of Delivery of Advance Payment and Enrollment

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 475 0 0 -990 0 1,465
Annual Time Burden (Hours) 58 0 0 -64 0 122
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No