Information Collection

Certification of Training Hours, Wages and Progress

IC 28416 under ICR 202211-2900-004 · OMB 2900-0176.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 28-1905c Certification of Training Hours, Wages and Progress	Form
28-1905c Certification of Training Hours, Wages, and Progress VA Form 28-1905c (Non-sub 4-28-23).pdf www.va.gov/vaforms	Form
28-1905c Certification of Training Hours, Wages, and Progress VA Form 28-1905c (Non-sub 4-28-23).pdf www.va.gov/vaforms	Form
VAF 28-1905c Justification Statement 11.7.22.docx VAF 28-1905c Justification Statement 11.7.22	IC Document
VAF 28-1905c Justification Statement 11.7.22.docx VAF 28-1905c Justification Statement 11.7.22	IC Document
28-1905c- 60-Day FRN 11.7.22.docx 60-day FRN	IC Document
28-1905c- 60-Day FRN 11.7.22.docx 60-day FRN	IC Document
28-1905c- 30-Day FRN.docx 30-Day FRN	IC Document
28-1905c- 30-Day FRN.docx 30-Day FRN	IC Document

IC Title:

Agency IC Tracking Number:

2900-0176

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	28-1905c	Certification of Training Hours, Wages, and Progress	VA Form 28-1905c (Non-sub 4-28-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: 58VA21/22/28, Compensation, Pension, Education, and Veteran Readiness and Employment Records - VA

FR Citation: 84 FR 4138

Number of Respondents: 1,140

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,140	-460	1,600
Annual IC Time Burden (Hours)	380	-20	400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
VAF 28-1905c Justification Statement 11.7.22	VAF 28-1905c Justification Statement 11.7.22.docx	11/07/2022
60-day FRN	28-1905c- 60-Day FRN 11.7.22.docx	11/07/2022
30-Day FRN	28-1905c- 30-Day FRN.docx	11/07/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.