Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)

Forms and Documents

Document Name	Status
Form VA Form 22-1999c Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c) Form	Modified
2017-09948.pdf Supplementary Document	2017-05-25
2017-01751.pdf Supplementary Document	2017-03-20
2016 Supporting Statement 0576.docx Supporting Statement A	2017-05-08

IC Document Collections

IC ID	Document Title	Status
28783	Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c) Form	Modified

ICR Details

OMB Control No: 2900-0576	ICR Reference No: 201701-2900-001
Status: Historical Active	Previous ICR Reference No: 201307-2900-013
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-NK
Title: Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/25/2017
	Date Received in OIRA: 07/11/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	10/31/2017
Responses	202	0	360
Time Burden (Hours)	34	0	18
Cost Burden (Dollars)	0	0	0

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Abstract: Education claimants taking correspondence courses must be notified that the law allows them a 5 day period to reflect on their decision to enroll in a correspondence course and determine whether that course is suitable to their abilities and interests. VA Form 22-1999c allows VA to determine if the claimant has been informed of the 5 day reflection period required by law.

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Authorizing Statute(s): US Code: 10 USC 16136(b) Name of Law: Reserve Components
   US Code: 10 USC 16166(b) Name of Law: Program Management
   US Code: 38 USC 3686(b) Name of Law: Correspondence Courses
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 1751	01/26/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 998	05/17/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certificate of Affirmation of Enrollment Agreement - Correspondence Course ( 22-1999c)	VA Form 22-1999c	Certificate of Affirmation of Enrollment Agreement - Correspondence Course

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ICR Summary 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	202	360	0	0	-158	0
Annual Time Burden (Hours)	34	18	0	0	16	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The slight increase in the annual reporting burden hours is due to the overall increase of the number of respondents entering correspondence courses from 360 to 445. The previous submission accounted for years of data from 2011 and 2012, whereas this submission covered three years of respondent information from 2013 through 2015.

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Annual Cost to Federal Government: $594

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/11/2017

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