This PDF is the current document as it appeared on Public Inspection on 06/12/2014 at 08:45 am.
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, will submit 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 July 14, 2014.
Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0404” in any correspondence.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email email@example.com. Please refer to “OMB Control No. 2900-0404.”End Further Info End Preamble Start Supplemental Information
Title: Veteran's Application for Increased Compensation Based on Unemployability, VA Form 21-8940.
OMB Control Number: 2900-0404.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 21-8940 is used by Veterans to file a claim for increased disability compensation based on unemployability. Claimants are required to provide current medical, educational, and occupational history in order for VA to determine whether he or she is unable to secure or follow a substantially gainful employment 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 January 3, 2014, at page 426.
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.Start Signature
Dated: June 9, 2014.
By direction of the Secretary.
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-13810 Filed 6-12-14; 8:45 am]
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