OMB control number

Pre and Post Independent Living Assessment (VA Form 28-0791)

OMB 2900-0681 · VA.

OMB 2900-0681

VA Form 28-0791, Pre and Post Independent Living Assessment (IL) is used by the Vocational Rehabilitation Counselor (VRC) during the initial and post IL evaluations. During this face-to-face meeting, the VRC identifies impairments and or barriers the Veteran may be experiencing with Activities of Daily Living (ADLs). The VRC then uses this information to identify the needs for services. The VRC compares the information obtained from the preliminary and post plan assessments to determine if there are improvements in the Veteran’s activities of daily living. Without the information gathered on this form, VR&E is not able to identify IL needs and provide needed services. There are no other invitations or other communications sent to the respondent associated with the information collection. Failure to collect this information would have a detrimental impact upon the determination of appropriate rehabilitation goals for Veterans participating in the IL program. This would negatively impact the Veteran’s participation in his or her rehabilitation program.

The latest form for Pre and Post Independent Living Assessment (VA Form 28-0791) expires 2027-11-30 and can be found here.