Request and Authorization for Supplies and Direct Reimbursement (Chapter 31-Veteran Readiness and Employment) (VA Form 28-1905m)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA Form 28-1905m Request and Authorization for Supplies and Direct Reimbursement (Chapter 31- Veterans Readiness & Employment)	Form	Modified	Available
Form VA Form 28-1905m Request and Authorization for Supplies and Direct Reimbursement (Chapter 31-Veteran Readiness and Employment) (28-1905m)	Form	Modified	Repair queued
Supporting Statement(2900-0061).docx	Supporting Statement A	Uploaded 2024-04-18	Repair queued
2024-08295.pdf	Supplementary Document	Uploaded 2024-04-18	Repair queued
2024-03138.pdf	Supplementary Document	Uploaded 2024-02-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28199	Request and Authorization for Supplies and Direct Reimbursement (Chapter 31-Veteran Readiness and Employment) (28-1905m)	Form	Modified	Request and Authorization for Supplies and Direct Reimbursement (Chapter 31- Veterans Readiness & Employment)
28199	Request and Authorization for Supplies and Direct Reimbursement (Chapter 31-Veteran Readiness and Employment) (28-1905m)	Form	Modified

ICR Details

OMB Control No: 2900-0061	ICR Reference No: 202402-2900-011
Status: Active	Previous ICR Reference No: 202103-2900-019
Agency/Subagency: VA	Agency Tracking No: VBA-VR&E-NK
Title: Request and Authorization for Supplies and Direct Reimbursement (Chapter 31-Veteran Readiness and Employment) (VA Form 28-1905m)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/22/2024
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved	07/31/2024
Responses	30,623	0	28,000
Time Burden (Hours)	15,312	0	14,000
Cost Burden (Dollars)	0	0	0

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Abstract: A claimant uses VAF 28-1905m to request supplies or equipment be provided as part of a rehabilitation program under 38 U.S.C. Chapter 31. The training facility the claimant attends, or the employer for whom the claimant works, may also need to complete the form when the facility or employer requires specific types of supplies or equipment under 38 U.S.C. 3104(a)(7). The VR&E program subsequently uses the information on this form to approve the purchase of appropriate supplies and equipment for claimants. Without the information gathered on this form, it is likely that inappropriate supplies or equipment may be provided which would negatively impact both the VA and the claimant.

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Authorizing Statute(s): US Code: 38 USC 3104(a)(7) Name of Law: Scope of services and assistance
  

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:
	89 FR 11946	02/15/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 27838	04/18/2024
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Request and Authorization for Supplies and Direct Reimbursement (Chapter 31-Veteran Readiness and Employment) (28-1905m)	VA Form 28-1905m	Request and Authorization for Supplies and Direct Reimbursement (Chapter 31- Veterans Readiness & Employment)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	30,623	28,000	0	2,623	0	0
Annual Time Burden (Hours)	15,312	14,000	0	1,312	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The burden time was increased due to adding the information from SF 1034 to VAF 28-1905m.

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Annual Cost to Federal Government: $4,249,397

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: 04/22/2024

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