Va Form 22-8865 - Employer'S Application To Provide Job Training Page 2
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2PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized
under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses as identified in the VA system of records,
58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records - VA, published in the
Federal Register. An example of a routine use allows VA to send educational forms or letters with a veteran's identifying information to
the veteran's school or training establishment to (1) assist the veteran in the completion of claims forms or (2) for VA to obtain further
information as may be necessary from the school for VA to properly process the veteran's education claim or to monitor his or her
progress during training. Your obligation to respond is required to obtain or retain education benefits. While you do not have to respond,
VA cannot determine if your training program can meet the requirements set by law for VA approval unless the information is furnished.
The responses you submit are considered confidential (38 U.S.C. 5701). Information submitted is subject to verification through
computer matching programs with other agencies.
RESPONDENT BURDEN: We need this information to determine whether a training program may be approved by the Department of
Veterans Affairs (VA), (38 U.S.C. 3677 or 3687). Title 38, United States Code, allows us to ask for this information. We estimate that
you will need an average of 90 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or
sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of
information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at
If desired, you can call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send
comments or suggestions about this form.
VA FORM 22-8865, JUL 2017
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