Information Collection

Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code)

IC 42188 under ICR 201412-2900-011 · OMB 2900-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0092 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 28-1902w Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code)	Form
VA Form 28-1902w Rehabilitation Needs Inventory 28-1902w.pdf www.va.gov/vaforms	Form

IC Title:

Rehabilitation Needs Inventory (Chapter 31, Title 38 U.S. Code)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 28-1902w	Rehabilitation Needs Inventory	28-1902w.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: 60,000

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	60,000	60,000
Annual IC Time Burden (Hours)	45,000	45,000
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.