Information Collection Request

VA Enrollment Certification (VA Form 22-1999)

ICR 202411-2900-008 · OMB 2900-0073 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 22-1999 VA Enrollment Certification Form and Instruction Modified Available
SUPPORTING STATEMENT 2900-0073 (01-16-2025).docx Supporting Statement A Uploaded 2025-01-16 Available

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
  Inventory as of this Action Requested Previously Approved
01/31/2028 36 Months From Approved 08/31/2027
3,799,847 0 3,799,847
633,307 0 633,307
0 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 Certificate

table that charts list of burden
  Total Approved 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 3,799,847 0 0 0 0
Annual Time Burden (Hours) 633,307 633,307 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No