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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 201708-2900-033 · OMB 2900-0014.

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

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
 
38 CFR 21.332 38 CFR 21.320 38 CFR 21.294 38 CFR 21.321 48 CFR 871.201-2 38 CFR 21.322

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 28-1905 Authorization and Certification of Entrance or Reentrance into Rehabilitation and Certification of Status 28-1905(2-5-2019).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

90,000 0
   
Individuals or Households
 
   0 %

  Requested 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 90,000 0
Annual IC Time Burden (Hours) 7,500 0 0 0 7,500 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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