Agreement to Train On The Job Disabled Veterans (28-1904)

ICR 201403-2900-022

OMB: 2900-0678

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0678 201403-2900-022
Historical Active 201111-2900-019
VA 2900-0678 VBA-VR&E-YM
Agreement to Train On The Job Disabled Veterans (28-1904)
Extension without change of a currently approved collection   No
Approved without change 04/10/2015
Retrieve Notice of Action (NOA) 02/12/2015
  Inventory as of this Action Requested Previously Approved
04/30/2018 36 Months From Approved 04/30/2015
600 0 600
150 0 150
0 0 0

This agreement ensures that OTC trainers meet their obligations to VA and the veteran and, that VA meets its obligations. A signed agreement is required for all On-The-Job Training programs developed.

US Code: 38 USC 3116 Name of Law: Promotion of employment and training opportunities
   US Code: 38 USC 3104 Name of Law: Scope of services and assistance
   US Code: 38 USC 501 Name of Law: Rules and regulations

Not associated with rulemaking

  79 FR 59557 10/02/2014
79 FR 78573 12/30/2014

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 600 600 0 0 0 0
Annual Time Burden (Hours) 150 150 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Crystal Rennie 202 632-7492 [email protected]


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

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