Information Collection

Yellow Ribbon Program Agreement

IC 187009 under ICR 201203-2900-018 · OMB 2900-0718.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0718 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-0839 Yellow Ribbon Program Agreement Yellow Ribbon Program Agreement	Form
22-0839 Yellow Ribbon Program Agreement VAF 22-0839 (5-25-12).pdf	Form

IC Title:

Yellow Ribbon Program Agreement

Agency IC Tracking Number:

2900-0718

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 21

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-0839			www.va.gov/vaform	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,538

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,538	-2,962	4,500
Annual IC Time Burden (Hours)	21,532	20,782	750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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