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Agency Information Collection Activities Under OMB Review

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Information about this document as published in the Federal Register.

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This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

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Veterans Benefits Administration, Department of Veterans Affairs.




In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-21), this notice announces that the Veterans Benefits Administration (VBA), Department of Veterans Affairs, has submitted the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden and includes the actual data collection instrument.


Comments must be submitted on or before April 1, 2005.

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Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., or e-mail Please refer to “OMB Control No. 2900-0404.”

Send comments and recommendations concerning any aspect of the information collection to VA's OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503 (202) 395-7316. Please refer to “OMB Control No. 2900-0404” in any correspondence.

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Title: Veteran's Application for Increased Compensation Based on Unemployability, VA Form 21-8940.

OMB Control Number: 2900-0404.

Type of Review: Extension of a currently approved collection.

Abstract: VA Form 21-8940 is used by veterans to file a claim for increased VA disability compensation based on unemployability. The claimant is required to provide current medical, educational, and occupational history in order to determine whether he or she is unable to secure or follow a substantially gainful occupation due to service-connected disabilities.

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. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published on November 17, 2004 at pages 67388-67389.

Affected Public: Individuals or households.

Estimated Annual Burden: 18,000 hours.

Estimated Average Burden Per Respondent: 45 minutes.

Frequency of Response: One-time.

Estimated Number of Respondents: 24,000.

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Dated: February 17, 2005.

By direction of the Secretary.

Cindy Stewart,

Program Analyst, Records Management Service.

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[FR Doc. 05-3971 Filed 3-1-05; 8:45 am]