IBM SKILLSBUILD TRAINING PROGRAM INTAKE APPLICATION (VA Form 22-10282)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 22-10282 IBM SKILLSBUILD TRAINING PROGRAM INTAKE APPLICATION (VA Form 22-10282)	Form	Modified	Repair queued
30-Day FRN - 2900-0922 (2023).pdf	Supplementary Document	Uploaded 2023-08-09	Repair queued
60-DAY FEDERAL REGISTER NOTICE - ACTUAL 3YR.pdf	Supplementary Document	Uploaded 2023-05-31	Repair queued
SUPPORTING STATEMENT IMB SKILLSBUILD 3 YR (2900-0922).docx	Supporting Statement A	Uploaded 2023-08-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257395	IBM SKILLSBUILD TRAINING PROGRAM INTAKE APPLICATION (VA Form 22-10282)	Form	Modified

ICR Details

OMB Control No: 2900-0922	ICR Reference No: 202305-2900-007
Status: Received in OIRA	Previous ICR Reference No: 202212-2900-005
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-YA
Title: IBM SKILLSBUILD TRAINING PROGRAM INTAKE APPLICATION (VA Form 22-10282)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/09/2023

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2023
Responses	600	600
Time Burden (Hours)	100	100
Cost Burden (Dollars)	0	0

---

Abstract: The IBM SkillsBuild Program is an IBM-sponsored pilot training program administered by VA to provide free virtual Information Technology (IT) training. SkillsBuild is a free online learning platform that provides adult learners with the opportunity to gain or improve IT skills that meet the needs of employers in the High-Technology industry. VA will provide the opportunity for Veterans, Service members, spouse, children, and caregivers to access free, self-paced, virtual training and credentials in Cybersecurity and Data Analytics. This virtual training in the field of Cybersecurity and Data Analytics is an enhanced resource for Veterans and transitioning Service members who are seeking job training and credentials to pursue a career in Technology. The IBM Skillsbuild Training Program Application (Intake Form), VA Form 22-10282 will allow eligible candidates to register and apply on a first-come, first-served basis to participate in the program, and the form will be sent via Email to [email protected]., for processing.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 34930	05/31/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 53958	08/09/2023
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
IBM SKILLSBUILD TRAINING PROGRAM INTAKE APPLICATION (VA Form 22-10282)	22-10282	IBM Skillsbuild Training Program Intake Application

---

ICR Summary of Burden

table that charts list of burden

	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	600	600	0	0	0	0
Annual Time Burden (Hours)	100	100	0	0	0	0
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: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $4,653

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

---

Common Form ICR:  No

---

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: 08/09/2023

---