Information Collection

Certificate of Delivery of Advance Payment and Enrollment

IC 28544 under ICR 201911-2900-001 · OMB 2900-0325.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.