Application and Training Agreement for Apprenticeship and On-the-Job-Training Programs (VA Forms 22-8864 & 22-8865)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA Form 22-8865 Employer's Application to Provide Job Training	Form	Modified	Available
Form VA Form 22-8864 Training Agreement for Apprenticeship and Other On-The-Job Training Programs	Form	Modified	Available
Form VA Form 22-8864 Training Agreement for Apprenticeship and Other On-The-Job Training Programs Employer’s Application to Provide Job Training	Form	Modified	Repair queued
30-DAY FEDERAL REGISTER NOTICE-ACTUAL.pdf	Supplementary Document	Uploaded 2024-01-18	Repair queued
60-DAY FEDERAL REGISTER NOTICE - ACTUAL.pdf	Supplementary Document	Uploaded 2024-01-09	Repair queued
2023 SUPPORTING STATEMENT (1).docx	Supporting Statement A	Uploaded 2024-01-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28549	Training Agreement for Apprenticeship and Other On-The-Job Training Programs Employer’s Application to Provide Job Training	Form	Modified	Employer's Application to Provide Job Training
28549	Training Agreement for Apprenticeship and Other On-The-Job Training Programs Employer’s Application to Provide Job Training	Form	Modified	Training Agreement for Apprenticeship and Other On-The-Job Training Programs
28549	Training Agreement for Apprenticeship and Other On-The-Job Training Programs Employer’s Application to Provide Job Training	Form	Modified
28549	Training Agreement for Apprenticeship and Other On-The-Job Training Programs Employer’s Application to Provide Job Training	Other-Policy Advisory 2020 reg Training Agreement	Modified

ICR Details

OMB Control No: 2900-0342	ICR Reference No: 202310-2900-007
Status: Active	Previous ICR Reference No: 202006-2900-001
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-KM
Title: Application and Training Agreement for Apprenticeship and On-the-Job-Training Programs (VA Forms 22-8864 & 22-8865)
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: 03/13/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/18/2024
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	03/31/2024
Responses	1,140	0	5,872
Time Burden (Hours)	1,710	0	11,744
Cost Burden (Dollars)	0	0	0

---

Abstract: VA Forms 22-8864 and 22-8865 are used to collect information from employers and trainees to ensure that training programs (Apprenticeship and On-the-Job Training) and agreements meet the statutory requirements for approval.

---

Authorizing Statute(s): US Code: 10 USC 16166 Name of Law: Administration of program
   US Code: 10 USC 510 Name of Law: Enlishments
   US Code: 38 USC 3241 Name of Law: Requirements
   US Code: 38 USC 3534 Name of Law: Apprenticeship or other on-job training; correspondence
   US Code: 38 USC 3034(a) Name of Law: Program administration
   US Code: 38 USC 3671 Name of Law: Designation
   US Code: 38 USC 3677 Name of Law: Approval of training on the jo
   US Code: 38 USC 3687 Name of Law: Apprenticeship or other on-job training
   US Code: 10 USC 16131(d) Name of Law: Educational assistance program: establishment; amount
   US Code: 38 USC 3672 Name of Law: Approval of courses
   US Code: 10 USC 16136 Name of Law: Administration of program
  

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 76278	11/06/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 3501	01/18/2024
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
Training Agreement for Apprenticeship and Other On-The-Job Training Programs Employer’s Application to Provide Job Training	VA Form 22-8864, VA Form 22-8865	Training Agreement for Apprenticeship and Other On-The-Job Training Programs ,   Employer's Application to Provide Job Training

---

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	1,140	5,872	0	-4,732	0	0
Annual Time Burden (Hours)	1,710	11,744	0	-10,034	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden decrease is due to a decrease in the number of On-the-Job and Apprenticeship Applications.

---

Annual Cost to Federal Government: $21,392

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: 01/18/2024

---