Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code)

Forms and Documents

Document Name	Status
Form VA Form 28-1902w Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code) Form	Modified
2900-0092 justification.docx Supporting Statement A	2012-08-15
Initial Evaluation Appt Letter with 1902w.doc Supplementary Document	2010-04-19

IC Document Collections

IC ID	Document Title	Status
42188	Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code) Form	Modified

ICR Details

OMB Control No: 2900-0092	ICR Reference No: 201111-2900-017
Status: Historical Active	Previous ICR Reference No: 201001-2900-012
Agency/Subagency: VA	Agency Tracking No: 2900-0092
Title: Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/15/2012
	Date Received in OIRA: 08/15/2012
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved. In the next request for approval, VA must explain why an electronic option cannot be used for this form or explain plans for allowing electronic submission.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2015	36 Months From Approved	06/30/2013
Responses	60,000	0	60,000
Time Burden (Hours)	45,000	0	45,000
Cost Burden (Dollars)	0	0	0

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Abstract: This form is used by VA Vocational Rehabilitation Counselors as a guide to the initial evaluation process.

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Authorizing Statute(s): US Code: 38 USC 3104(a) Name of Law: Scope of services and assistance
   US Code: 38 USC 501(a) Name of Law: Rules and regulations
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 103	05/29/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 154	08/09/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code)	VA Form 28-1902w	Rehabilitation Needs Inventory

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ICR Summary of Burden

	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $493,950

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/15/2012

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