Title:Preliminary Independent Living (IL) Assessment, VA Form 28-0791.
OMB Control Number:2900-0681.
Type of Review:Extension of a currently approved collection.
Abstract:VA case managers use VA Form 28-0791 while evaluating the independent living needs of veterans with severe disabilities. The data is used to determine the scope of the veteran's independent living needs under the Vocational Rehabilitation and Employment program.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. TheFederal RegisterNotice with a 60-day comment period soliciting comments on this collection of information was published on August 1, 2012, at pages 45718-45719.
Affected Public:Individuals or households.
Estimated Annual Burden:2,500.
Estimated Average Burden per Respondent:1 hour.
Frequency of Response:One-time.
Estimated Number of Respondents:2,500.
Dated: October 15, 2012.
By direction of the Secretary.
William F. Russo,
Deputy Director, Office of Regulations Policy and Management, Office of the General Counsel, Department of Veterans Affairs.