VA Enrollment Certification (VA Form 22-1999)

Forms and Documents

Document Name	Status
Form 22-1999 VA Enrollment Certification Form and Instruction	Modified
SUPPORTING STATEMENT 2900-0073 (01-16-2025).docx Supporting Statement A	2025-01-16

IC Document Collections

IC ID	Document Title	Status
28218	VA Enrollment Certification Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0073	ICR Reference No: 202411-2900-008
Status: Active	Previous ICR Reference No: 202410-2900-013
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-KM
Title: VA Enrollment Certification (VA Form 22-1999)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/17/2025
	Date Received in OIRA: 01/17/2025
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2028	36 Months From Approved	08/31/2027
Responses	3,799,847	0	3,799,847
Time Burden (Hours)	633,307	0	633,307
Cost Burden (Dollars)	0	0	0

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Abstract: This form is used by school officials and employers to certify enrollment information to the Department of Veterans Affairs (VA). VA uses the information to determine the correct rate of payment and the periods of payment to persons eligible for education benefits under chapters 30, 32, 33, and 35 of title 38, U.S.C., chapter 1606 and 1607 of title 10 U.S.C., and Sections 901 and 903 of Public Law 96-342.

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Authorizing Statute(s): US Code: 38 USC 3680 Name of Law: Payment of educational assistance or subsistance allowances
   US Code: 10 USC 16136 Name of Law: Adminstration of Program
   US Code: 38 USC 3323 Name of Law: Program Administration
   US Code: 38 USC 3684 Name of Law: Reports by veterans, eligible persons, and institutions; reporting fee
   US Code: 38 USC 3034 Name of Law: Program administration
   US Code: 10 USC 16166 Name of Law: Administration of program
   US Code: 38 USC 3241 Name of Law: Requirement
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AQ88	Final or interim final rulemaking	90 FR 5324	01/16/2025

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Federal Register Notices & Comments

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
VA Enrollment Certification	22-1999	VA enrollment Certificate

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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	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

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:

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Annual Cost to Federal Government: $16,496,393

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? No

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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: 01/17/2025

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