OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code) (28-1902w)

ICR 201412-2900-011 · OMB 2900-0092 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 28-1902w Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code) Form Modified Available
30-Day FRN - 2900-0092 (2015).pdf Supplementary Document Uploaded 2015-04-29 Available
60-Day FRN - 2900-0092 (2014).pdf Supplementary Document Uploaded 2015-02-18 Available
201412-2900-011_Rehab Needs Inventory SS 2900-0092(1902w) 051415_2015-07... (final).docx Supporting Statement A Uploaded 2015-08-07 Available
Initial Evaluation Appt Letter with 1902w.doc Supplementary Document Uploaded 2010-04-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
42188 Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code) Form Modified
ICR Details
2900-0092 201412-2900-011
Historical Active 201111-2900-017
VA VBA-VRE-YM
Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code) (28-1902w)
Revision of a currently approved collection   No
Regular
Approved without change 08/18/2015
Retrieve Notice of Action (NOA) 05/27/2015
  Inventory as of this Action Requested Previously Approved
08/31/2018 36 Months From Approved 10/31/2015
60,000 0 60,000
45,000 0 45,000
0 0 0
This form is used by VA Vocational Rehabilitation Counselors as a guide to the initial evaluation process.
US Code: 38 USC 501(a) Name of Law: Rules and regulations
   US Code: 38 USC 3104(a) Name of Law: Scope of services and assistance
  
None
Not associated with rulemaking
  79 FR 75862 12/19/2014
80 FR 23857 04/29/2015
No
1
IC Title Form No. Form Name
Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code) VA Form 28-1902w Rehabilitation Needs Inventory
  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 60,000 60,000 0 0 0 0
Annual Time Burden (Hours) 45,000 45,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,748,150
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [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.
05/27/2015