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Federal forms, ICRs, and supporting documents

Information Collection

Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status (28-1905)

IC 28099 under ICR 201403-2900-017 · OMB 2900-0014.

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Document Type
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Form
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Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status (28-1905) 2900-0014 VBA-VR&E-DB
 
No Modified
 
Required to Obtain or Retain Benefits
 
48 CFR 871.201-2 38 CFR 21.332 38 CFR 21.320 38 CFR 21.294 38 CFR 21.321 38 CFR 21.322

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 28-1905 Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status 28-1905.pdf http://www.va.gov/vaforms/ Yes No Fillable Printable

General Government Legislative Functions

 

90,000 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 90,000 0 0 0 0 90,000
Annual IC Time Burden (Hours) 7,500 0 0 0 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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