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

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0009 can be found here:

Documents and Forms

Document Name Document Type
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
VA Form 28-1900 Application for Veteran Readiness and Employment for Cla 28-1900(4-6-22).pdf www.va.gov/vaforms Form
VA Form 28-1900 Application for Veteran Readiness and Employment for Cla 28-1900(4-6-22).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Veteran Readiness and Employment for Claimants with Service-Connected Disabilities (Chapter 31, Title 38 U.S.C.)(28-1900)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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(4-6-22).pdf	www.va.gov/vaforms	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 58VA 21/22/28, Compensation, Pension, Education and Veteran Readiness and Employment Records - VA	FR Citation: 87 FR 13067

Number of Respondents: 97,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	97,000	-31,515	128,515
Annual IC Time Burden (Hours)	16,167	-5,252	21,419
Annual IC Cost Burden (Dollars)	0	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.