Information Collection Request

VA Enrollment Certification (VA Form 22-1999)

ICR 202405-2900-005 · OMB 2900-0073 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 22-1999 VA Enrollment Certification Form and Instruction Modified Repair queued
30-DAY (published) FRN 2900-0073.pdf Supplementary Document Uploaded 2024-07-29 Repair queued
60-DAY FRN (published) 2900-0073.pdf Supplementary Document Uploaded 2024-07-23 Repair queued
SUPPORTING STATEMENT 2024 (4).docx Supporting Statement A Uploaded 2024-07-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
28218 VA Enrollment Certification Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2024
3,799,847 15,162,546
633,307 2,527,091
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
VA Enrollment Certification 22-1999 VA Enrollment Certification

table that charts list 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 3,799,847 15,162,546 0 -11,362,699 0 0
Annual Time Burden (Hours) 633,307 2,527,091 0 -1,893,784 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No