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

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

Documents and Forms

Document Name Document Type
Form 22-10215a 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

Information Collection (IC) Details

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

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	22-10215a	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios	VBA-22-10215a-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form and Instruction	22-10215	Statement of Assurance of Compliance with 85 Percent Enrollment Ratios	VBA-22-10215-ARE.pdf	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 %

	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

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.