Information Collection

On-The-Job Training Agreement (VA Form 28-1904)

IC 28956 under ICR 202402-2900-020 · OMB 2900-0678.

Documents and Forms

Document Name Document Type
Form VA Form 28-1904 On-The-Job Training Agreement (VA Form 28-1904) Form
VA Form 28-1904 On-The-Job Training Agreement 28-1904(5-13-24).pdf www.va.gov/vaforms Form
VA Form 28-1904 On-The-Job Training Agreement 28-1904(5-13-24).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	On-The-Job Training Agreement (VA Form 28-1904)	Agency IC Tracking Number:	2900-0678

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 28-1904	On-The-Job Training Agreement	28-1904(5-13-24).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	FR Citation: 89 FR 16818

Number of Respondents: 354	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	354	-1,046	1,400
Annual IC Time Burden (Hours)	89	-261	350
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.