Information Collection

Statement of Assurance of Compliance with 85 Percent Enrollment Ratios

IC 248363 under ICR 202103-2900-029 · OMB 2900-0897.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0897 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 22-10215 Statement of Assurance of Compliance with 85 Percent Enrollment Ratios	Form and Instruction
Form VA Form 22-10215 Statement of Assurance of Compliance with 85 Percent Enrollment Ratios Statement of Assurance of Compliance with 85 Percent Enrollment Ratios	Form and Instruction
Form VA Form 22-10215a Statement of Assurance of Compliance with 85 Percent Enrollment Ratios Statement of Assurance of Compliance with 85 Percent Enrollment Ratios	Form and Instruction
VA Form 22-10215 Statement of Assurance of Compliance with 85 Percent Enr 22-10215(10-26-21).pdf	Form and Instruction
VA Form 22-10215 Statement of Assurance of Compliance with 85 Percent Enr 22-10215(10-26-21).pdf	Form and Instruction
VA Form 22-10215a Statement of Assurance of Compliance with 85 Percent Enr 22-10215a(10-26-21).pdf	Form and Instruction
VA Form 22-10215a Statement of Assurance of Compliance with 85 Percent Enr 22-10215a(10-26-21).pdf	Form and Instruction

IC Title:

Statement of Assurance of Compliance with 85 Percent Enrollment Ratios

Agency IC Tracking Number:

202103-2900-029

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4201

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 and Instruction	VA Form 22-10215			www.va.gov/vaforms	Yes	No	Fillable Printable
Form and Instruction	VA Form 22-10215a			www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: 58VA 21/22/28, COMPENSATION, PENSION, EDUCATION AND VETERAN READINESS AND EMPLOYMENT-VA (58VA21/22/28)

FR Citation: 86 FR 55683

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	40,000	40,000
Annual IC Cost Burden (Dollars)	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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