Certificate of Delivery of Advance Payment and Enrollment

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

Documents and Forms

Document Name Document Type
Form VA Form 22-1999V Certificate of Delivery of Advance Payment and Enrollment Form
VA Form 22-1999V Certificate of Delivery of Advance Payment and Enrollmen 22-1999v(8-22-23).pdf www.va.gov/vaforms Form
VA Form 22-1999V Certificate of Delivery of Advance Payment and Enrollmen 22-1999v(8-22-23).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Certificate of Delivery of Advance Payment and Enrollment	Agency IC Tracking Number:	2900-0325

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.7640(d) 38 CFR 21.5200(d) 38 CFR 21.4138(a) 38 CFR 21.5135 38 CFR 21.5292(e)(2) 38 CFR 21.7151(b) 38 CFR 21.4203(a) and (d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-1999V	Certificate of Delivery of Advance Payment and Enrollment	22-1999v(8-22-23).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: 88 FR 18399

Number of Respondents: 63	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	63	-412	475
Annual IC Time Burden (Hours)	23	-35	58
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.