Application for Veteran Readiness and Employment For Claimants with Service-Connected Disabilities (Chapter 31, Title 38, U.S.C.) (VA Form 28-1900)

Forms and Documents

Document Name	Status
Form VA Form 28-1900 Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities (Chapter 31, Title 38 U.S.C.)(28-1900) Form	Modified
Supporting Statement- 2900-0009 (VAF 28-1900)6.30.22.docx Supporting Statement A	2022-06-30
2022-13067.pdf Supplementary Document	2022-06-23
2022-07795.pdf Supplementary Document	2022-05-05

IC Document Collections

IC ID	Document Title	Status
28085	Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities (Chapter 31, Title 38 U.S.C.)(28-1900) Form	Modified

ICR Details

OMB Control No: 2900-0009	ICR Reference No: 202203-2900-019
Status: Received in OIRA	Previous ICR Reference No: 201708-2900-031
Agency/Subagency: VA	Agency Tracking No: VBA-VR&E-NK
Title: Application for Veteran Readiness and Employment For Claimants with Service-Connected Disabilities (Chapter 31, Title 38, U.S.C.) (VA Form 28-1900)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/15/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2022
Responses	97,000	128,515
Time Burden (Hours)	16,167	21,419
Cost Burden (Dollars)	0	0

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Abstract: The Department of Veterans Affairs (VA) through its Veterans Benefits Administration (VBA) administers an integrated program of benefits and services, established by law, for Veterans, service personnel, and their dependents and/or beneficiaries. Title 38 U.S.C. 501(a) provides VA the authority to collect this information. VA Form 28-1900, Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities (Chapter 31, Title 38, U.S.C.) is necessary in the determination of eligibility for and entitlement to these benefits under 38 U.S.C. 3102.

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Authorizing Statute(s): US Code: 38 USC 501(a)(1) Name of Law: Rules and regulations
   US Code: 38 USC 5101 Name of Law: Claims and Forms
   US Code: 38 USC 3102 Name of Law: Basic Entitlement
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 7795	04/12/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 13067	06/17/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities (Chapter 31, Title 38 U.S.C.)(28-1900)	VA Form 28-1900	Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities (Chapter 31, Title 38, U.S.C.)

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ICR Summary of Burden

	Total Request	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	97,000	128,515	0	-31,515	0	0
Annual Time Burden (Hours)	16,167	21,419	0	-5,252	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The time for completing this form has been reduced to 10 minutes resulting in a decrease in burden hours for this collection of information.

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Annual Cost to Federal Government: $6,162,226

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/15/2022

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