Certificate of Delivery of Advance Payment and Enrollment

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0325 can be found here:

Documents and Forms

Document Name Document Type
Form 22-1999v Certificate of Delivery of Advance Payment and Enrollment Form
22-1999v Certificate of Delivery of Advance Payment and Enrollmen VA Form 22-1999v - OMB Exp. 1-2020 (11-13-19).pdf Xerox Laser Printer (Hines) Form

Information Collection (IC) Details

IC Title:	Certificate of Delivery of Advance Payment and Enrollment	Agency IC Tracking Number:	2900-0325 VBA-EDU-YM

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.5135 38 CFR 21.5200(d) 38 CFR 21.4138(a) 38 CFR 21.5292(e)(2) 38 CFR 21.7151(b) 38 CFR 21.4203(a) and (d) 38 CFR 21.7640(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-1999v	Certificate of Delivery of Advance Payment and Enrollment	VA Form 22-1999v - OMB Exp. 1-2020 (11-13-19).pdf	Xerox Laser Printer (Hines)	No		Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 475	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	475	-990	1,465
Annual IC Time Burden (Hours)	58	-64	122
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.