OMB control number
On-The-Job Training Agreement (VA Form 28-1904)
OMB 2900-0678 · VA.
OMB 2900-0678
VA Form 28-1904 is used to gather the necessary information to develop formal agreements for training and rehabilitation under 38 U.S.C. Chapter 31. Additionally, the information is used to authorize a claimant’s participation in a program of training under 38 U.S.C. 501(a), 38 U.S.C. 3104 and 38 U.S.C. 3116.
The latest form for On-The-Job Training Agreement (VA Form 28-1904) expires 2027-06-30 and is listed under ICR 202402-2900-020.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 28-1904 On-The-Job Training Agreement (VA Form 28-1904) | Form |
| SupportingStatement (2900-0678).docx | Supporting Statement A |
| 2024-10381.pdf | Supplementary Document |
| 2024-04948.pdf | Supplementary Document |
 On-The-Job Training Agreement (VA Form 28-1904) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202402-2900-020 | Revision of a currently approved collection | 2024-05-13 | Approved without change | |
| 202104-2900-013 | Reinstatement without change of a previously approved collection | 2021-06-29 | Approved without change | |
| 201403-2900-022 | Extension without change of a currently approved collection | 2015-02-12 | Approved without change | |
| 201111-2900-019 | Extension without change of a currently approved collection | 2012-02-23 | Approved without change | |
| 200901-2900-003 | Extension without change of a currently approved collection | 2009-04-08 | Approved without change | |
| 200603-2900-007 | Existing collection in use without an OMB Control Number | 2006-03-16 | Approved without change |