OMB control number
Chapter 31 Request for Assistance (VA Form 28-10212)
OMB 2900-0882 ยท VA.
OMB 2900-0882
VA Form 28-10212 will be used by claimants to request specific services, supplies, and equipment to participate in their rehabilitation program under the provisions of 38 U.S.C. 3100.
The latest form for Chapter 31 Request for Assistance (VA Form 28-10212) expires 2021-02-28 and is listed under ICR 202007-2900-018.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 28-10212 Chapter 31 Request for Assistance (VA Form 28-10212) | Form |
| 2020-26566.pdf | Supplementary Document |
 SupportStatement(2900-0882) (1).docx | Supporting Statement A |
| 2020-20650.pdf | Supplementary Document |
 Chapter 31 Request for Assistance (VA Form 28-10212) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202009-2900-003 | Extension without change of a currently approved collection | 2020-12-30 | ||
| 202007-2900-018 | New collection (Request for a new OMB Control Number) | 2020-07-27 | Approved without change |