Certificate of Delivery of Advance Payment and Enrollment (VA Form 22-1999v)

Forms and Documents

Document Name	Status
Form VA Form 22-1999V Certificate of Delivery of Advance Payment and Enrollment Form	Modified
SUPPORT STATEMENT(2900-0325).docx Supporting Statement A	2023-11-01
2023-24056.pdf Supplementary Document	2023-11-01
60-DAY FEDERAL REGISTER NOTICE - ACTUAL.pdf Supplementary Document	2023-08-28

IC Document Collections

IC ID	Document Title	Status
28544	Certificate of Delivery of Advance Payment and Enrollment Form	Modified

ICR Details

OMB Control No: 2900-0325	ICR Reference No: 202308-2900-008
Status: Received in OIRA	Previous ICR Reference No: 201911-2900-001
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-NK
Title: Certificate of Delivery of Advance Payment and Enrollment (VA Form 22-1999v)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/01/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2023
Responses	63	475
Time Burden (Hours)	23	58
Cost Burden (Dollars)	0	0

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Abstract: This form is used by schools to certify delivery of advance payments and to report any changes in enrollment status. VA uses the information to remove a computer control temporarily preventing future payments of benefits and to process receipt of advance payments.

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Authorizing Statute(s): US Code: 10 USC 510 Name of Law: Enlistment incentives for pursuit of skills to facilitate national service
   US Code: 38 USC 3531 Name of Law: Educational Assistance Benefits
   US Code: 38 USC 3034 Name of Law: Program Administration
   US Code: 38 USC 3680 Name of Law: Payment of educational assistance or subsistence allowances
   US Code: 38 USC 3684 Name of Law: Reports by veterans, eligible persons, and institution; reporting fee
   US Code: 38 USC 3241 Name of Law: Requirements
   US Code: 10 USC 16136 Name of Law: Administration of Program
   US Code: 10 USC 16166 Name of Law: Administration of Program
   PL: Pub.L. 96 - 342 903
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 18399	08/28/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 24056	11/01/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certificate of Delivery of Advance Payment and Enrollment	VA Form 22-1999V	Certificate of Delivery of Advance Payment and Enrollment

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	63	475	0	-412	0	0
Annual Time Burden (Hours)	23	58	0	-35	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This collection is currently approved by the Office of Management and Budget (OMB), and the agency wishes only to extend the approval past the current 3-year expiration date without making any material change to the form, instructions or frequency of collection. This information collection renewal resulted in a reduction in the burden hours based on a significant reduction in the number of average annual advance payments requested and made over the periods, 2019, 2020, 2021 and 2022.

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Annual Cost to Federal Government: $651

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/01/2023

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