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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 22-10275 Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	Form	Modified	Available
SUPPORTING STATEMENT 2900-0718 (01-16-2025).docx	Supporting Statement A	Uploaded 2025-01-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187009	Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	Form	Modified

ICR Details

OMB Control No: 2900-0718	ICR Reference No: 202411-2900-007
Status: Active	Previous ICR Reference No: 202410-2900-014
Agency/Subagency: VA	Agency Tracking No: VBA-EDU-YA
Title: Yellow Ribbon Program Agreement (VA Form 22-0839) and Principles of Excellence for Education Institutions (VA Form 22-10275) NEW
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/17/2025
	Date Received in OIRA: 01/17/2025
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	10/31/2025
Responses	5,600	0	1,852
Time Burden (Hours)	78,400	0	25,928
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AQ88	Final or interim final rulemaking	90 FR 5324	01/16/2025

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Yellow Ribbon Program Agreement and Principle of Excellence for Educational Institutions	22-10275, 22-0839	Principle of Excellence for Educational Institutions ,   Yellow Ribbon Program Agreement

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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	5,600	1,852	0	3,748	0	0
Annual Time Burden (Hours)	78,400	25,928	0	52,472	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has increased since the previous approval due to a provision in the associated rulemaking, RIN 2900-AQ88, which constituted an increase in the estimated number of respondents, resulting in an increase in the reporting burden hours.

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Annual Cost to Federal Government: $157,248

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

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Common Form ICR:  No

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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: 01/17/2025

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