Information Collection

Certificate of Delivery of Advance Payment and Enrollment

IC 28544 under ICR 202308-2900-008 · OMB 2900-0325.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

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 22-1999V	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 %

table that charts list of burden
	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

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.