Information Collection

Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet

IC 248363 under ICR 202409-2900-006 · OMB 2900-0897.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 22-10215a Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	Form and Instruction
Form 22-10215a Statement of Assurance of Compliance with 85 Percent Enrollment Ratios Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	Form and Instruction
Form 22-10215 Statement of Assurance of Compliance with 85 Percent Enrollment Ratios Statement of Assurance of Compliance with 85 Percent Enrollment Ratios AND Continuation Sheet	Form and Instruction
22-10215a Statement of Assurance of Compliance with 85 Percent Enr VBA-22-10215a-ARE.pdf www.va.gov/vaforms	Form and Instruction
22-10215a Statement of Assurance of Compliance with 85 Percent Enr VBA-22-10215a-ARE.pdf www.va.gov/vaforms	Form and Instruction
22-10215 Statement of Assurance of Compliance with 85 Percent Enr VBA-22-10215-ARE.pdf www.va.gov/vaforms	Form and Instruction
22-10215 Statement of Assurance of Compliance with 85 Percent Enr VBA-22-10215-ARE.pdf www.va.gov/vaforms	Form and Instruction

IC Title:

Agency IC Tracking Number:

202103-2900-029

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.4201

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	22-10215a			www.va.gov/vaforms	Yes	No	Fillable Printable
Form and Instruction	22-10215			www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: 58VA 21/22/28, COMPENSATION, PENSION, EDUCATION AND VETERAN READINESS AND EMPLOYMENT-VA (58VA21/22/28)

FR Citation: 84 FR 4138

Number of Respondents: 1,814

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,814	-38,186	40,000
Annual IC Time Burden (Hours)	1,814	-38,186	40,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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