Supplemental Information for Change of Program or Re-enrollment After Unsatisfactory Attendance, Conduct or Progress

Forms and Documents

Document Name	Status
Form VA Form 22-8873 Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress Form	Modified
30-Day FRN - 2900-0358 (2015).pdf Supplementary Document	2015-10-21
60-Day FRN - 2900-0358 (2015).pdf Supplementary Document	2015-10-13
2900-0358_attach_E_ltr_for_22-8873[1].doc Supplementary Document	2009-11-17
2900-0358_attach_D_ltr_for_22-8873[1].DOC Supplementary Document	2009-11-17
Supporting Statement - 2900-0358 (10-22-15).docx Supporting Statement A	2015-10-22

IC Document Collections

IC ID	Document Title	Status
28563	Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress Form	Modified

ICR Details

OMB Control No: 2900-0358	ICR Reference No: 201507-2900-011
Status: Historical Active	Previous ICR Reference No: 201209-2900-011
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-YM
Title: Supplemental Information for Change of Program or Re-enrollment After Unsatisfactory Attendance, Conduct or Progress
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/02/2016
	Date Received in OIRA: 10/29/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	36 Months From Approved	05/31/2016
Responses	43,536	0	35,411
Time Burden (Hours)	21,769	0	17,706
Cost Burden (Dollars)	0	0	0

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Abstract: The information from the claimant enables claims examiners to evaluate the suitability of a training program or evaluate the reasons for unsatisfactory attendance, conduct, or progress. The number of claimants is expected to increase due to chapter 33 (Post 9/11 GI Bill).

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Authorizing Statute(s): US Code: 38 USC Section 3241 Name of Law: Requirements
   US Code: 38 USC Section 3474 Name of Law: Discontinuance for unsatisfactory conduct or progress
   US Code: 38 USC Section 3524 Name of Law: Discontinuance for unsatisfactory conduct or progress
   US Code: 38 USC Section 3691 Name of Law: Change of Program
   US Code: 10 USC Section 16136 Name of Law: Administration or Program
   US Code: 10 USC Section 16166 Name of Law: Administration of Program
   US Code: 38 USC Section 3323 Name of Law: Administration
   US Code: 10 USC chapter 31, section 510 Name of Law: Vocational Rehabilitation
   PL: Pub.L. 96 - 342 811 Name of Law: SUBSISTENCE ALLOWANCES FOR MEMBERS OF MARINE CORPS OFFICER
   US Code: 38 USC Section 501 Name of Law: Rules and regulations
   US Code: 38 USC Section 3034 Name of Law: Program Administration
  

Citations for New Statutory Requirements: None

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 48960	08/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 63880	10/21/2015
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
Supplemental Information for Change of Program or Reenrollment After Unsatisfactory Attendance, Conduct or Progress	VA Form 22-8873	SUPPLEMENTAL INFORMATION FOR CHANGE OF PROGRAM OR REENROLLMENT AFTER UNSATISFACTORY ATTENDANCE, CONDUCT OR PROGRESS

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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	43,536	35,411	0	8,125	0	0
Annual Time Burden (Hours)	21,769	17,706	0	4,063	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: There was an increase in the number of individuals using education benefits.

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Annual Cost to Federal Government: $381,375

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 10/29/2015

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