Yellow Ribbon Program Agreement (VA Form 22-0839) and Principles of Excellence for Education Institutions (VA Form 22-10275) NEW

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 22-0839 Yellow Ribbon Program Agreement	Form	Modified	Repair queued
Form 22-10275 Principles of Excellence for Educational Institutions	Form	Modified	Repair queued
Form 22-10275 Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	Form	Modified	Repair queued
30-Day FRN - 2900-0718 (2022).pdf	Supplementary Document	Uploaded 2022-09-19	Repair queued
60-DAY FEDERAL REGISTER NOTICE - ACTUAL 06-30-22.pdf	Supplementary Document	Uploaded 2022-06-30	Repair queued
SUPPORTING STATEMENT 0839 and 10275 06-22-2022.docx	Supporting Statement A	Uploaded 2022-06-30	Repair queued
YELLOW RIBBON PROGRAM AGREEMENT Substantive Change Memo Draft.docx	Supplementary Document	Uploaded 2022-06-17	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187009	Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	Form	Modified	Yellow Ribbon Program Agreement
187009	Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	Form	Modified	Principles of Excellence for Educational Institutions
187009	Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	Form	Modified

ICR Details

OMB Control No: 2900-0718	ICR Reference No: 202104-2900-015
Status: Historical Active	Previous ICR Reference No: 202003-2900-006
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-YA
Title: Yellow Ribbon Program Agreement (VA Form 22-0839) and Principles of Excellence for Education Institutions (VA Form 22-10275) NEW
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/21/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/19/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2025	36 Months From Approved
Responses	1,852	0	0
Time Burden (Hours)	25,928	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The VA Form 22-0839 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. VA Form 22-10275 can be used by all educational and training institutions (ETIs) receiving funding from Federal military and veterans educational benefits programs, to request participation in the Principles of Excellence.

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Authorizing Statute(s): US Code: 38 USC 3317 Name of Law: Public - Private Contribution for Addtional Educational Assistance
   PL: Pub.L. 110 - 252 5003 Name of Law: EDUCATIONAL ASSISTANCE AUTHORIZED
  

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:
	87 FR 39161	06/30/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 55893	09/12/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	22-0839, 22-10275	Principles of Excellence for Educational Institutions ,   Yellow Ribbon Program Agreement

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ICR Summary of Burden

table that charts list 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	1,852	0	0	-1,520	0	3,372
Annual Time Burden (Hours)	25,928	0	0	-21,280	0	47,208
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Because the forms are a one-time use only to elect voluntary participation, the pool of potential schools approved for GI Bill benefits is relatively stable. Over time, as more schools have entered into the open-ended agreement, the remaining number of schools available to apply continues to be reduced.

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Annual Cost to Federal Government: $47,457

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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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: 09/19/2022

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