OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30

ICR 201103-2900-020 · OMB 2900-0009 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 28-1900 Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30 Form Modified Repair queued
2900-0009_justification[1].docx Supporting Statement A Uploaded 2011-07-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28085 Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30 Form Modified
ICR Details
2900-0009 201103-2900-020
Historical Active 200801-2900-011
VA 2900-0009
Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30
Extension without change of a currently approved collection   No
Regular
Approved without change 09/05/2011
Retrieve Notice of Action (NOA) 07/06/2011
  Inventory as of this Action Requested Previously Approved
09/30/2014 36 Months From Approved 09/30/2011
67,844 0 67,844
16,961 0 16,961
0 0 0
Veterans with compensable service-connected disabilities use this form to apply for vocational rehabilitation under 38 U.S.C. chapter 31. The application obtains information used to determine eligibility for this benefit, to schedule an appointment for an evaluation, and to help determine entitlement.
US Code: 38 USC 5101(a) Name of Law: Claims and forms
   US Code: 38 USC 501(a)(1) Name of Law: Rules and regulations
   US Code: 38 USC chapter 31 Name of Law: Training and Rehabilitation For Veterans with Service-Connected Disabilities
  
None
Not associated with rulemaking
  76 FR 71 04/13/2011
76 FR 118 06/20/2011
No
  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 67,844 67,844 0 0 0 0
Annual Time Burden (Hours) 16,961 16,961 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$686,074
No
No
No
No
No
Uncollected
Denise McLamb 202-565-8374 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/06/2011