Information Collection

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

IC 28199 under ICR 202402-2900-011 · OMB 2900-0061.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 28-1905m Request and Authorization for Supplies and Direct Reimbursement (Chapter 31-Veteran Readiness and Employment) (28-1905m)	Form
VA Form 28-1905m Request and Authorization for Supplies and Direct Reimbu 28-1905m(4-22-24).pdf www.va.gov/vaforms	Form
VA Form 28-1905m Request and Authorization for Supplies and Direct Reimbu 28-1905m(4-22-24).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0061

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.156 38 CFR 21.212

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	VA Form 28-1905m	Request and Authorization for Supplies and Direct Reimbursement (Chapter 31- Veterans Readiness & Employment)	28-1905m(4-22-24).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

FR Citation: 89 FR 27838

Number of Respondents: 30,623

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30,623	2,623	28,000
Annual IC Time Burden (Hours)	15,312	1,312	14,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.