Dependents' Application for VA Education Benefits

Dependents' Application for VA Education Benefits (Under Provisions of Chapter 33 and 35, Title 38, U.S.C.) (VA Form 22-5490)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0098 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-5490 Dependents' Application for VA Education Benefits Form
VA Form 22-5490 Dependents' Application for VA Education Benefits VAF-22-5490(7-18).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

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	VA Form 22-5490	Dependents' Application for VA Education Benefits	VAF-22-5490(7-18).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,981	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50,981	-38,593	89,574
Annual IC Time Burden (Hours)	29,740	-22,511	52,251
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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