Information Collection

Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)

IC 28783 under ICR 202110-2900-008 · OMB 2900-0576.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0576 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 22-1999c Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)	Form
VA Form 22-1999c Certificate of Affirmation of Enrollment Agreement - Cor 22-1999c(11-1-21).pdf www.va.gov/vaforms	Form
VA Form 22-1999c Certificate of Affirmation of Enrollment Agreement - Cor 22-1999c(11-1-21).pdf www.va.gov/vaforms	Form

IC Title:

Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)

Agency IC Tracking Number:

2900-0576

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4256(b)

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	VA Form 22-1999c	Certificate of Affirmation of Enrollment Agreement - Correspondence Course	22-1999c(11-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: 58VA 21/22/28 COMPENSATION, PENSION, EDUCATION AND VETERAN READINESS AND EMPLOYMENT RECORDS-VA (58VA21/22/28)

FR Citation: 84 FR 4138

Number of Respondents: 69

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	69	-133	202
Annual IC Time Burden (Hours)	3	-31	34
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.