Information Collection

Request for Supplies (Chapter 31 - Vocational Rehabilitation)

IC 28199 under ICR 201109-2900-004 · OMB 2900-0061.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 28-1905m Request for Supplies (Chapter 31 - Vocational Rehabilitation)	Form
VA Form 28-1905m Request for Supplies (Chapter 31-Vocational Rehabilitati 28-1905m.pdf www.va.gov/vaforms	Form

IC Title:

Request for Supplies (Chapter 31 - Vocational Rehabilitation)

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 28-1905m	Request for Supplies (Chapter 31-Vocational Rehabilitation)	28-1905m.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: 16,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16,000	4,000	12,000
Annual IC Time Burden (Hours)	16,000	4,000	12,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.