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View ICR - OIRA Conclusion

OMB Control No: 2900-0061	ICR Reference No: 202103-2900-019
Status: Historical Active	Previous ICR Reference No: 201403-2900-023
Agency/Subagency: VA	Agency Tracking No: VBA-VR&E-MS
Title: Request for Supplies (Chapter 31 - Vocational Rehabilitation) (VA Form 28-1905m)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/28/2021
	Date Received in OIRA: 06/23/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved
Responses	28,000	0	0
Time Burden (Hours)	14,000	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	28,000	12,000	16,000
Annual Time Burden (Hours)	14,000	-2,000	16,000
Annual Cost Burden (Dollars)	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: The VR&E program experienced an increase in rehabilitation plans developed since the last submission and VAF 28-1905m is used during the rehabilitation planning process. This increase in plans results in an increase in the use of VAF 28-1905m. The individual respondent burden decreased from one hour to 30 minutes. This decrease is associated with VAF 28-1905m only being used for the initial request of the supplies/equipment as opposed to also being used for receipt confirmation upon the supplies/equipment being delivered. A new form, VAF 28-1905r, is being developed for the purpose of verifying that the supplies/equipment have been received. Additionally, the items on VAF 28-1905m were reviewed and it was determined that the average claimant could complete the items in 30 minutes or less.

Annual Cost to Federal Government: $1,492,986

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

Agency Contact: Maribel Aponte 202 266-4688 maribel.aponte@va.gov

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