Information Collection

VA Enrollment Certification

IC 28218 under ICR 202405-2900-005 · OMB 2900-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-1999 VA Enrollment Certification	Form and Instruction
22-1999 VA Enrollment Certification VBA-22-1999-ARE 5-21-24.pdf www.va.gov/vaforms	Form and Instruction
22-1999 VA Enrollment Certification VBA-22-1999-ARE 5-21-24.pdf www.va.gov/vaforms	Form and Instruction

IC Title:

VA Enrollment Certification

Agency IC Tracking Number:

2900-0073

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.5200(d) 38 CFR 21.4203 38 CFR 21.7152 38 CFR 21.7652 38 CFR 21.9720

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 and Instruction	22-1999	VA Enrollment Certification	VBA-22-1999-ARE 5-21-24.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 (58/VA21/22/28)

FR Citation: 84 FR 4138

Number of Respondents: 3,799,847

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,799,847	-11,362,699	15,162,546
Annual IC Time Burden (Hours)	633,307	-1,893,784	2,527,091
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.