Information Collection

Monthly Record of Training and Wages

IC 28416 under ICR 201210-2900-008 · OMB 2900-0176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0176 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 28-1905c Monthly Record of Training and Wages Form
VA Form 28-1905c Monthly Record of Training and Wages VBA-28-1905c-ARE.pdf www4.va.gov/vaforms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Monthly Record of Training and Wages	Agency IC Tracking Number:	2900-0176

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 28-1905c	Monthly Record of Training and Wages	VBA-28-1905c-ARE.pdf	http://www4.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	14,400	14,400
Annual IC Time Burden (Hours)	3,600	3,600
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.