Request for Supplies (Chapter 31 - Vocational Rehabilitation) (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⚠️ Notice: This information collection may be referencing outdated material.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 VA Form 28-1905m Request for Supplies (Chapter 31 - Vocational Rehabilitation) (28-1905m) Form
VA Form 28-1905m Request for Supplies (Chapter 31-Vocational Rehabilitati 28-1905m.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Supplies (Chapter 31 - Vocational Rehabilitation) (28-1905m)	Agency IC Tracking Number:	2900-0061 VBA-VR&E-DB

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	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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	16,000	16,000
Annual IC Time Burden (Hours)	16,000	16,000
Annual IC Cost Burden (Dollars)	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.