Statement of Assurance of Compliance with 85 Percent Enrollment Ratios (VA Form 22-10215 and 22-10215a)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 22-10215 Statement of Assurance of Compliance with 85 Percent Enrollment Ratios	Form and Instruction	Modified	Available
Form 22-10215a Statement of Assurance of Compliance with 85 Percent Enrollment Ratios	Form and Instruction	Modified	Available
Form 22-10215a Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	Form and Instruction	Modified	Repair queued
30-DAY (published) 2900-0897.pdf	Supplementary Document	Uploaded 2024-12-02	Available
30-DAY (published) 2900-0897.pdf	Supplementary Document	Uploaded 2024-12-02	Repair queued
60-DAY FEDERAL REGISTER NOTICE - ACTUAL OMB 2900-0897.pdf	Supplementary Document	Uploaded 2024-10-04	Available
60-DAY FEDERAL REGISTER NOTICE - ACTUAL OMB 2900-0897.pdf	Supplementary Document	Uploaded 2024-10-04	Missing upstream
SUPPORTING STATEMENT 2024 - OMB 2900-0897 (2).docx	Supporting Statement A	Uploaded 2024-12-02	Available
SUPPORTING STATEMENT 2024 - OMB 2900-0897 (2).docx	Supporting Statement A	Uploaded 2024-12-02	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248363	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	Form and Instruction	Modified	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios
248363	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	Form and Instruction	Modified	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios
248363	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0897	ICR Reference No: 202409-2900-006
Status: Active	Previous ICR Reference No: 202103-2900-029
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-KM
Title: Statement of Assurance of Compliance with 85 Percent Enrollment Ratios (VA Form 22-10215 and 22-10215a)
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: 01/03/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/02/2024
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	01/31/2028	36 Months From Approved	01/31/2025
Responses	1,814	0	40,000
Time Burden (Hours)	1,814	0	40,000
Cost Burden (Dollars)	0	0	0

---

Abstract: As part of the benefits authorization process, § 21.4201 places restrictions on enrollment based on the percentage of students receiving financial support in any approved program. VA requires approved schools with beneficiaries receiving VA Education benefits to report the ratio of these students by enrolled program relative to the total student population enrolled in each of those programs. These reports (VA Forms 22-10215 and 10215a) are required quarterly or within 30 days of each standard term, semester or quarter.

---

Authorizing Statute(s): US Code: 38 USC 38 U.S.C. 3680A(d)
  

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:
	89 FR 77583	09/23/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 95359	12/02/2024
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
Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	22-10215a, 22-10215	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios ,   Statement of Assurance of Compliance with 85 Percent Enrollment Ratios

---

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	1,814	40,000	0	-38,186	0	0
Annual Time Burden (Hours)	1,814	40,000	0	-38,186	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 has significantly decreased since the inception and initial approval of this relatively new collection of information that began in 2021. In 2021, the Program Office estimated there would be 10,000 instruments received quarterly resulting in a total of 40,000 burden hours. This result appears to be a significant overestimation. Based on the data collections received for fiscal years, 2022, 2023, and through August 2024, however, there has been a significant decrease in the number of actual instruments received resulting in the significant decrease in burden.

---

Annual Cost to Federal Government: $35,735

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.     No

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: 12/02/2024

---