Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w)

Forms and Documents

Document Name	Status
Form 28-1902w Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w) Form	Modified
2900-0092 VAF 28-1902w Supporting Statement (9-10-24).docx Supporting Statement A	2024-09-11
30-Day FRN - 2900-0092 (2024).pdf Supplementary Document	2024-09-10
60-Day FRN - 2900-0092 (2024).pdf Supplementary Document	2024-07-25

IC Document Collections

IC ID	Document Title	Status
42188	Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w) Form	Modified

ICR Details

OMB Control No: 2900-0092	ICR Reference No: 202406-2900-012
Status: Received in OIRA	Previous ICR Reference No: 202103-2900-015
Agency/Subagency: VA	Agency Tracking No: VBA-VR&E-YA
Title: Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/11/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2024
Responses	64,129	126,000
Time Burden (Hours)	48,097	94,500
Cost Burden (Dollars)	0	0

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Abstract: The VA Form 28-1902w, Information for Veteran Readiness and Employment Entitlement Determination is used by the Vocational Rehabilitation Counselor (VRC) with the Veteran during the comprehensive initial evaluation after the VA receives an application for Veteran or Service member Readiness and Employment benefits and has determined the Veteran is eligible to apply for Chapter 31 under Title 38 U.S.C. 3104(a) and 38 CFR § 21.50. Use of the VA Form 28-1902w will allow the VA counselor to use the form to collect the information during the initial evaluation. The information is unique to each Veteran and must be collected to assist with making an entitlement determination during the initial evaluation or the counselor would not have enough information to properly evaluate the Veteran’s circumstances. The information is collected only once. Information for Veteran Readiness and Employment Entitlement Determination takes approximately 45 minutes to complete.

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Authorizing Statute(s): US Code: 38 USC 501(a) Name of Law: Rules and Regulations
   US Code: 38 USC 3104(a) Name of Law: Scope of services and assistance
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 54962	07/02/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 73509	09/10/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Information for Veteran Readiness and Employment Entitlement Determination (VA Form 28-1902w)	28-1902w	Information for Veteran Readiness and Employment Entitlement Determination

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	64,129	126,000	0	-61,871	0	0
Annual Time Burden (Hours)	48,097	94,500	0	-46,403	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Due to the Annual Benefit Report the number of respondents has decreased.

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Annual Cost to Federal Government: $13,348,280

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/11/2024

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