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Va Form 22-1999 - Instructions And Certifications For Va Enrollment Certification (Va Form 22-1999) Page 2

Privacy Act Notice: VA will not disclose information collected on this form to any source other than what has been authorized under the

Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (i.e., VA sends educational forms or letters with a

veteran's identifying information to the veteran's school or training establishment to (1) assist the veteran in the completion of claims

forms or (2) VA obtains further information as may be necessary from the school for VA to properly process the veteran's education

claim or to monitor his or her progress during training) as identified in the VA system of records, 58VA21/22/28, Compensation,

Pension, Education and Vocational Rehabilitation Records - VA, and published in the Federal Register. Your obligation to respond is

required to obtain or retain benefits. While you do not have to respond, VA cannot pay the student any further education benefits until we

receive the information. We cannot pay the student any education benefits until we receive this information (38 U.S.C. 3684). Your

responses are confidential (38 U.S.C. 5701). Information submitted is subject to verification through computer matching programs with

other agencies.

Respondent Burden: We need this information to determine the student's eligibility for education benefits and the proper amount payable.

Title 38, United States Code, allows us to ask for this information. We cannot pay the student any education benefits until we receive this

information which schools are required to submit (38 U.S.C. 3684). We estimate that you will need an average of 10 minutes to review

the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid

OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid

OMB control numbers can be located on the OMB Internet Page at If desired,

you can call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this form.

VA FORM 22-1999, MAR 2009

Va Form 22-1999 - Instructions And Certifications For Va Enrollment Certification (Va Form 22-1999) Page 2