Information Collection

Dependents' Application for VA Education Benefits

IC 28269 under ICR 202411-2900-003 · OMB 2900-0098.

Documents and Forms

Document Name Document Type
Form 22-5490 Dependents' Application for VA Education Benefits Form
22-5490 Dependents' Application for VA Education Benefits (Under VA Form 22-5490 - Updated for New Rule (10-18-24).pdf www.va.gov/vaforms Form
Substantive Change - White Paper-cq.docx SUBSTANTIVE CHANGE JUSTIFICATION - WHITE PAPER IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Dependents' Application for VA Education Benefits	Agency IC Tracking Number:	2900-0098

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.3030

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-5490	Dependents' Application for VA Education Benefits (Under Provisions of Chapter 33 and 35, Title 38, U.S.C.)	VA Form 22-5490 - Updated for New Rule (10-18-24).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 (58VA21/22/28)	FR Citation: 88 FR 67452

Number of Respondents: 83,972	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	83,972	83,972
Annual IC Time Burden (Hours)	48,983	48,983
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SUBSTANTIVE CHANGE JUSTIFICATION - WHITE PAPER	Substantive Change - White Paper-cq.docx	07/07/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.