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

ICR 202104-2900-015

OMB: 2900-0718

Federal Form Document

IC Document Collections
ICR Details
2900-0718 202104-2900-015
Received in OIRA 202003-2900-006
Yellow Ribbon Program Agreement (VA Form 22-0839) and Principles of Excellence for Education Institutions (VA Form 22-10275) NEW
Reinstatement with change of a previously approved collection   No
Regular 09/19/2022
  Requested Previously Approved
36 Months From Approved
1,852 0
25,928 0
0 0

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.

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

Not associated with rulemaking

  87 FR 39161 06/30/2022
87 FR 55893 09/12/2022

  Total Request 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
Miscellaneous Actions
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.

Maribel Aponte 202 266-4688 [email protected]


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:
    (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;
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.

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