Veterans Benefits Administration, Department of Veterans Affairs.
In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501—3521), 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; it includes the actual data collection instrument.
Comments must be submitted on or before June 23, 2005.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, FAX (202) 273-5981 or e-mail: email@example.com. Please refer to “OMB Control No. 2900-0079.”
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. 2900-0079” in any correspondence.End Further Info End Preamble Start Supplemental Information
Title: Employment Questionnaire, VA Forms 21-4140, 21-4140-1.
OMB Control Number: 2900-0079.
Type of Review: Reinstatement, with change, of a previously approved collection for with approval has expired.
Abstract: Claimants who are under the age of 60 and receiving individual unemployability compensation at 100 percent rate are required to complete VA Form 21-4140 and 21-4101-1 certifying that they are still unable to secure or follow a substantially gainful occupation because of a service connected-disability. VA will use the information collected to determine the claimant's continued entitlement to individual unemployability benefits.
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 January 31, 2005, at page 4919.
Affected Public: Individuals or households.
Estimated Annual Burden: 10,833 hours.
Estimated Average Burden Per Respondent: 5 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 130,000.Start Signature
Dated: May 10, 2005.
By direction of the Secretary.
Program Analyst, Records Management Service.
[FR Doc. E5-2593 Filed 5-23-05; 8:45 am]
BILLING CODE 8320-01-P