Information Collection

Request for Restoration of Entitlement due to Facility Closure, Program of Training or Course Disapproval (VA Form 28-10281)

IC 276175 under ICR 202507-2900-002 · OMB 2900-0923.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 28-10281 Request for Restoration of Entitlement due to Facility Closure, Program of Training or Course Disapproval (VA Form 28-10281) Request for Restoration of Entitlement due to Facility Closure, Program of Training or Course Disapproval (VA Form 28-10281)	Form and Instruction
Form 28-10281 Request for Restoration of Entitlement due to Facility Closure, Program of Training or Course Disapproval (VA Form 28-10281) Request for Restoration of Entitlement due to Facility Closure, Program of Training or Course Disapproval (VA Form 28-10281)	Form and Instruction
28-10281 Request for Restoration of Entitlement due to Facility C VBA-28-10281-ARE 3-13-26.pdf www.va.gov/vaforms	Form and Instruction
28-10281 Request for Restoration of Entitlement due to Facility C VBA-28-10281-ARE 3-13-26.pdf www.va.gov/vaforms	Form and Instruction

IC Title:

Agency IC Tracking Number:

28-10281

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.9 5 CFR 1320.5(d)(2)

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 and Instruction	28-10281			www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

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

FR Citation: 87 FR 8740

Number of Respondents: 144,630

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
Annual Number of Responses for this IC	144,630	144,630
Annual IC Time Burden (Hours)	24,105	24,105
Annual IC Cost Burden (Dollars)	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.

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