Application for Vocational Rehabilitation for Veterans with Service-connected Disabilities (Chapter 31, Title 38 U.S.C.)(28-1900)

Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30 (VA Form 28-1900)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 28-1900 Application for Vocational Rehabilitation for Veterans with Service-connected Disabilities (Chapter 31, Title 38 U.S.C.)(28-1900) Form
28-1900 APPLICATION FOR VOCATIONAL REHABILITATION FOR VETERANS W VA Form 28-1900 (508 Conformant 1-30-19).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Vocational Rehabilitation for Veterans with Service-connected Disabilities (Chapter 31, Title 38 U.S.C.)(28-1900)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	28-1900	APPLICATION FOR VOCATIONAL REHABILITATION FOR VETERANS WITH SERVICE-CONNECTED DISABILITIES (Chapter 31, Title 38, U. S. C.)	VA Form 28-1900 (508 Conformant 1-30-19).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 128,515	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 11 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	128,515	60,671	67,844
Annual IC Time Burden (Hours)	21,419	4,458	16,961
Annual IC Cost Burden (Dollars)	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.