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

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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.