View Information Collection (IC)

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 and Instruction	5490	DEPENDENTS' APPLICATION FOR VA EDUCATION BENEFITS	VA Form 22-5490 - Revisions (07-05-23).pdf	https://www.va.gov/education/apply-for-education-benefits/application/5490/introduction	Yes	Yes	Fillable Fileable Signable
Form	VA 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 - Revisions (07-05-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

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	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	83,972	0	20,165	0	0	63,807
Annual IC Time Burden (Hours)	48,983	0	1,128	0	0	47,855
Annual IC Cost Burden (Dollars)	0	0	0	0	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.