Yellow Ribbon Program Agreement

Forms and Documents

Document Name	Status
Form VA Form 22-0839 Yellow Ribbon Program Agreement Form	New
YRP CL 4 010509.doc Supplementary Document	2009-01-07
VA Form 22-0839 justification.doc Supporting Statement A	2008-11-03

IC Document Collections

IC ID	Document Title	Status
187009	Yellow Ribbon Program Agreement Form	New

ICR Details

OMB Control No: 2900-0718	ICR Reference No: 200810-2900-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Yellow Ribbon Program Agreement
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/31/2008
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/08/2009
	Date Received in OIRA: 11/18/2008
Terms of Clearance: Approved consistent with VA changes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2009	6 Months From Approved
Responses	4,500	0	0
Time Burden (Hours)	750	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This form will be used by institutions of higher learning (IHLs) to request participation in the Yellow Ribbon Program and provide details of the manner in which the IHL will participate.

Emergency Justfication: Effective June 30, 2008, PL 110-252 created a new educational assistance benefit. The new benefit, chapter 33, contains provisions which require VA to collect information in order to administer the Yellow Ribbon Program (authorized under the new benefit). VA has prepared a proposed rule for publication but must receive approval for Yellow Ribbon information collection before the final rule publishes in order to meet the statutory deadline of paying benefits on August 1, 2009. Title 38 U.S.C. 3317 requires VA to enter into an agreement with schools wishing to participate in Yellow Ribbon. The agreement must include the maximum number of students the school will provide additional financial assistance to and it must state the amount of additional assistance that will be made. VA is required to match each additional dollar provided by the school. The statute further requires that VA post the information on a website for public viewing. In order to have sufficient time to post the information on the website (after processing received requests) and amend/update systems to issue Yellow Ribbon payments, VA will issue requests for participation in December of each calendar year and require that schools provide responses no later than February 15th of the following year.

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Authorizing Statute(s): US Code: 38 USC 3317 Name of Law: Public - Private Contribution for Addtional Educational Assistance
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 252 5003 Name of Law: EDUCATIONAL ASSISTANCE AUTHORIZED

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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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
Yellow Ribbon Program Agreement	VA Form 22-0839	Yellow Ribbon Program Agreement

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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	4,500	0	0	4,500	0	0
Annual Time Burden (Hours)	750	0	0	750	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

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Annual Cost to Federal Government: $93,353

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 11/18/2008

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