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

ICR 201111-2900-017

OMB: 2900-0092

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0092 201111-2900-017
Historical Active 201001-2900-012
VA 2900-0092
Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code)
Revision of a currently approved collection   No
Regular
Approved without change 10/15/2012
Retrieve Notice of Action (NOA) 08/15/2012
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
10/31/2015 36 Months From Approved 06/30/2013
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 3104(a) Name of Law: Scope of services and assistance
   US Code: 38 USC 501(a) Name of Law: Rules and regulations
  
None

Not associated with rulemaking

  77 FR 103 05/29/2012
77 FR 154 08/09/2012
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

$493,950
No
No
No
No
No
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  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.
08/15/2012


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