Request for Supplies (Chapter 31 - Vocational Rehabilitation) (VA Form 28-1905m)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0061 can be found here:

Documents and Forms

Document Name Document Type
Form 28-1905m Request for Supplies (Chapter 31 - Vocational Rehabilitation) (VA Form 28-1905m) Form
28-1905m Request and Authorization for Supplies (Chapter 31 - Vet VBA-28-1905m (03-25-2021).pdf www.va.gov/vaforms Form
28-1905m Request and Authorization for Supplies (Chapter 31 - Vet VBA-28-1905m (03-25-2021).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Supplies (Chapter 31 - Vocational Rehabilitation) (VA Form 28-1905m)	Agency IC Tracking Number:	2900-0061

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	28-1905m	Request and Authorization for Supplies (Chapter 31 - Veteran Readiness and Employement)	VBA-28-1905m (03-25-2021).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records	FR Citation: 84 FR 4138

Number of Respondents: 28,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	28,000	12,000	16,000
Annual IC Time Burden (Hours)	14,000	-2,000	16,000
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.