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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

202402-2900-020 Approved without change	Revision of a currently approved collection	2024-05-13
202104-2900-013 Approved without change	Reinstatement without change of a previously approved collection	2021-06-29
201403-2900-022 Approved without change	Extension without change of a currently approved collection	2015-02-12
201111-2900-019 Approved without change	Extension without change of a currently approved collection	2012-02-23
200901-2900-003 Approved without change	Extension without change of a currently approved collection	2009-04-08
200603-2900-007 Approved without change	Existing collection in use without an OMB Control Number	2006-03-16