OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status

ICR 201106-2900-007 · OMB 2900-0014 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 28-1905 Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status Form Unchanged Available
2900-0014 justification.docx Supporting Statement A Uploaded 2011-08-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28099 Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status Form Unchanged
ICR Details
2900-0014 201106-2900-007
Historical Active 200906-2900-014
VA 2900-0014
Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status
Extension without change of a currently approved collection   No
Regular
Approved without change 03/29/2012
Retrieve Notice of Action (NOA) 09/23/2011
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved 03/31/2012
90,000 0 90,000
7,500 0 7,500
0 0 0
The VA case manager completes sections A and B and send the form to the veteran's or other eligible person's training facility or service provider. The facility or service provider then completes section C to verify to VA that the individual has entered the planned program. The facility uses a copy for voucher purposes.
US Code: 38 USC 501(a) Name of Law: Rules and regulations
   US Code: 38 USC 3108 Name of Law: Allowances
   US Code: 38 USC 3680(g) Name of Law: Payment of educational assistance or subsistence
  
None
Not associated with rulemaking
  76 FR 126 06/30/2011
76 FR 168 08/30/2011
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 90,000 90,000 0 0 0 0
Annual Time Burden (Hours) 7,500 7,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,485,400
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.
09/23/2011