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Federal forms, ICRs, and supporting documents

Information Collection Request

Request for Supplies (Chapter 31 - Vocational Rehabilitation)

ICR 201109-2900-004 · OMB 2900-0061 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 28-1905m Request for Supplies (Chapter 31 - Vocational Rehabilitation) Form Modified Available
2900-0061 justification.docx Supporting Statement A Uploaded 2011-12-14 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28199 Request for Supplies (Chapter 31 - Vocational Rehabilitation) Form Modified
ICR Details
2900-0061 201109-2900-004
Historical Active 200807-2900-014
VA 2900-0061
Request for Supplies (Chapter 31 - Vocational Rehabilitation)
Extension without change of a currently approved collection   No
Regular
Approved without change 03/02/2012
Retrieve Notice of Action (NOA) 12/14/2011
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved 03/31/2012
16,000 0 12,000
16,000 0 12,000
0 0 0
Under 38 CFR 21.212, VA must control supplies for vocational rehabilitation participants. The information the form collects ensures VA that the veteran needs the supplies to continue his or her program and certifies that the veteran's facility requires the veteran to have the supplies, and that the veteran does not already have them.
US Code: 38 USC 501(a) Name of Law: Rules and Regulations
   US Code: 38 USC 3104(a)(7) Name of Law: Scope of services and assistance
  
None
Not associated with rulemaking
  76 FR 188 09/28/2011
76 FR 240 12/14/2011
No
1
IC Title Form No. Form Name
Request for Supplies (Chapter 31 - Vocational Rehabilitation) VA Form 28-1905m Request for Supplies (Chapter 31-Vocational Rehabilitation)
  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 16,000 12,000 0 0 4,000 0
Annual Time Burden (Hours) 16,000 12,000 0 0 4,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The number of estimated respondents has been adjusted by 4,000. After a review of the form, this is a much more realistic estimate of the number of veteran participants who require supplies for their rehabilitation program.
$267,840
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.
12/14/2011