Request for Retroactive Induction for a Period Previously Completed Under Chapter 33 (VA Form 28-10286)

ICR 202306-2900-019


Federal Form Document

ICR Details
Received in OIRA
Request for Retroactive Induction for a Period Previously Completed Under Chapter 33 (VA Form 28-10286)
New collection (Request for a new OMB Control Number)   No
Regular 09/11/2023
  Requested Previously Approved
36 Months From Approved
99,000 0
33,000 0
0 0

A service member or veteran will use VA Form 28-10286 to request a retroactive induction for a period previously completed under Chapter 33 benefits. The VR&E program subsequently uses the information on this form to determine if a service member or veteran qualifies for restoration of entitlement. Without the information gathered on this form, the VR&E program would be unable to verify that the service member or veteran meets the criteria for retroactive induction.

US Code: 38 USC 3102 Name of Law: Basic Entitlement
   US Code: 38 USC 3103 Name of Law: Periods of Eligibility
   US Code: 38 USC 3108 Name of Law: Allowances
   US Code: 38 USC 5113 Name of Law: Effective Dates of Educational Benefits

Not associated with rulemaking

  88 FR 14032 07/03/2023
88 FR 19394 09/08/2023

  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 99,000 0 0 99,000 0 0
Annual Time Burden (Hours) 33,000 0 0 33,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Miscellaneous Actions
This is a new collection.

Maribel Aponte 202 266-4688 [email protected]


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:
    (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;
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.

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