Information Collection

Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress

IC 28563 under ICR 200701-2900-006 · OMB 2900-0358.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0358 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 22-8873 Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress Form
VA Form 22-8873 Supplemental Information for Change of Program or Reenro 2900-0358 VA Form 22-8873.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.5232 38 CFR 21.5270 38 CFR 21.7114 38 CFR 21.7153 38 CFR 21.7614 38 CFR 21.7653 38 CFR 21.4234 38 CFR 21.4277 38 CFR 21.4278

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 22-8873	Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress	2900-0358 VA Form 22-8873.pdf	www.va.gov/vaforms	Yes	No	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23,763	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	23,763	5,463	0	18,300
Annual IC Time Burden (Hours)	11,882	920	1,812	9,150
Annual IC Cost Burden (Dollars)	0	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.