Information Collection

Monthly Record of Training and Wages

IC 28416 under ICR 201210-2900-008 · OMB 2900-0176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0176 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 28-1905c Monthly Record of Training and Wages	Form
VA Form 28-1905c Monthly Record of Training and Wages VBA-28-1905c-ARE.pdf www4.va.gov/vaforms/	Form

IC Title:

Monthly Record of Training and Wages

Agency IC Tracking Number:

2900-0176

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 28-1905c	Monthly Record of Training and Wages	VBA-28-1905c-ARE.pdf	http://www4.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	14,400	14,400
Annual IC Time Burden (Hours)	3,600	3,600
Annual IC Cost Burden (Dollars)	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.