Education Benefit Entitlement Restoration Request Due to School Closure, Program Suspension or Withdrawal

Education Benefit Entitlement Restoration Request Due to School Closure, Program Suspension, or Withdrawal (VA Form 22-0989)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0859 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-0989 Education Benefit Entitlement Restoration Request Due to School Closure, Program Suspension or Withdrawal Form
VA Form 22-0989 Education Benefit Entitlement Restoration Request Due to 22-0989(2-24-21).pdf www.va.gov/vaforms Form
VA Form 22-0989 Education Benefit Entitlement Restoration Request Due to 22-0989(2-24-21).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Education Benefit Entitlement Restoration Request Due to School Closure, Program Suspension or Withdrawal	Agency IC Tracking Number:	2900-0859

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-0989	Education Benefit Entitlement Restoration Request Due to School Closure, Program Suspension or Withdrawal	22-0989(2-24-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records – VA 58VA21/22/28	FR Citation: 86 FR 3029

Number of Respondents: 3,821	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	3,821	-10,233	14,054
Annual IC Time Burden (Hours)	955	-2,556	3,511
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.