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Monthly Statement of Wages Paid to Trainee (28-1917)
Monthly Statement of Wages Paid to Trainee (28-1917)
OMB: 2900-0368
IC ID: 28574
OMB.report
VA
OMB 2900-0368
ICR 201403-2900-019
IC 28574
( )
Documents and Forms
Document Name
Document Type
Form 28-1917
Monthly Statement of Wages Paid to Trainee (28-1917)
Form
28-1917 Monthly Statement of Wages Paid to Trainee (Chapter 31,
VA Form 28-1917 (8-28-14).pdf
www.va.gov/vaforms/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Monthly Statement of Wages Paid to Trainee (28-1917)
Agency IC Tracking Number:
2900-0368 VBA-VR&E-YM
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
38 CFR 21.296
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
28-1917
Monthly Statement of Wages Paid to Trainee (Chapter 31, Title 38, U.S.C.)
VA Form 28-1917 (8-28-14).pdf
www.va.gov/vaforms/
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
3,600
0
0
0
0
3,600
Annual IC Time Burden (Hours)
1,800
0
0
0
0
1,800
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
