Information Collection

Monthly Statement of Wages Paid to Trainee

IC 28574 under ICR 200806-2900-006 · OMB 2900-0368.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0368 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 28-1917 Monthly Statement of Wages Paid to Trainee Form
VA Form 28-1917 Monthly Statement of Wages Paid to Trainee 28-1917.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Monthly Statement of Wages Paid to Trainee	Agency IC Tracking Number:	2900-0368

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.296

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 28-1917	Monthly Statement of Wages Paid to Trainee	28-1917.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	1,800	1,800
Annual IC Cost Burden (Dollars)	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.