Information Collection

Yellow Ribbon Program Agreement

IC 187009 under ICR 201801-2900-015 · OMB 2900-0718.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0718 can be found here:

Documents and Forms

Document Name Document Type
Form 22-0839 Yellow Ribbon Program Agreement Form
22-0839 Yellow Ribbon Program Agreement 22-0839.pdf www.va.gov/vaform Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Yellow Ribbon Program Agreement	Agency IC Tracking Number:	2900-0718

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	22-0839	Yellow Ribbon Program Agreement	22-0839.pdf	www.va.gov/vaform	Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Compensation, Pension, Education, Vocational Rehabilitation and Employment Records	FR Citation: 77 FR 42593

Number of Respondents: 3,372	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,372	1,107	2,265
Annual IC Time Burden (Hours)	47,208	15,498	31,710
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.