OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w)

ICR 202406-2900-012 · OMB 2900-0092 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 28-1902w Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w) Form Modified Repair queued
2900-0092 VAF 28-1902w Supporting Statement (9-10-24).docx Supporting Statement A Uploaded 2024-09-11 Repair queued
30-Day FRN - 2900-0092 (2024).pdf Supplementary Document Uploaded 2024-09-10 Repair queued
60-Day FRN - 2900-0092 (2024).pdf Supplementary Document Uploaded 2024-07-25 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
42188 Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w) Form Modified
ICR Details
2900-0092 202406-2900-012
Received in OIRA 202103-2900-015
VA VBA-VR&E-YA
Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w)
Revision of a currently approved collection   No
Regular 09/11/2024
  Requested Previously Approved
36 Months From Approved 11/30/2024
64,129 126,000
48,097 94,500
0 0
The VA Form 28-1902w, Information for Veteran Readiness and Employment Entitlement Determination is used by the Vocational Rehabilitation Counselor (VRC) with the Veteran during the comprehensive initial evaluation after the VA receives an application for Veteran or Service member Readiness and Employment benefits and has determined the Veteran is eligible to apply for Chapter 31 under Title 38 U.S.C. 3104(a) and 38 CFR § 21.50. Use of the VA Form 28-1902w will allow the VA counselor to use the form to collect the information during the initial evaluation. The information is unique to each Veteran and must be collected to assist with making an entitlement determination during the initial evaluation or the counselor would not have enough information to properly evaluate the Veteran’s circumstances. The information is collected only once. Information for Veteran Readiness and Employment Entitlement Determination takes approximately 45 minutes to complete.
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
  89 FR 54962 07/02/2024
89 FR 73509 09/10/2024
Yes
  Total Request 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 64,129 126,000 0 -61,871 0 0
Annual Time Burden (Hours) 48,097 94,500 0 -46,403 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Due to the Annual Benefit Report the number of respondents has decreased.
$13,348,280
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [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.
09/11/2024