Information Collection

Dependents' Application for VA Education Benefits

IC 28269 under ICR 202109-2900-010 · OMB 2900-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0098 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-5490 Dependents' Application for VA Education Benefits	Form
22-5490 Dependents' Application for VA Education Benefits VA Form 22-5490 (OMB Expiring 10-31-21).pdf www.va.gov/vaforms	Form
22-5490 Dependents' Application for VA Education Benefits VA Form 22-5490 (OMB Expiring 10-31-21).pdf www.va.gov/vaforms	Form

IC Title:

Dependents' Application for VA Education Benefits

Agency IC Tracking Number:

2900-0098

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.3030

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	22-5490	Dependents' Application for VA Education Benefits	VA Form 22-5490 (OMB Expiring 10-31-21).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 VETERAN READINESS AND EMPLOYMENT RECORDS - VA (58VA21/22/28)

FR Citation: 84 FR 4138

Number of Respondents: 63,807

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

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	63,807	12,826	50,981
Annual IC Time Burden (Hours)	47,855	18,115	29,740
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.