Agency Information Collection (Employment Questionnaire) Activity Under OMB Review, 51655 [2014-20605]

Agencies

• DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 79, Number 168 (Friday, August 29, 2014)]
[Notices]
[Page 51655]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-20605]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0079]


Agency Information Collection (Employment Questionnaire) Activity 
Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: 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.

DATES: Comments must be submitted on or before September 29, 2014.

ADDRESSES: 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 
oirasubmission@omb.eop.gov. Please refer to ``OMB Control No. 
2900-0079'' in any correspondence. During the comment period, comments 
may be viewed online through the FDMS.

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 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0079'' in 
any correspondence.

SUPPLEMENTARY INFORMATION: 
    Title: Employment Questionnaire, VA Forms 21-4140 and 21-4140-1.
    OMB Control Number: 2900-0079.
    Type of Review: Revision of a currently approved collection.
    Abstract: Claimants who are under the age of 60 and receiving 
individual unemployability compensation at 100 percent rate are 
required to complete VA Forms 21-4140 and 21-4140-1 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 June 12, 2014, at pages 33813-33814.
    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.

    Dated: August 26, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-20605 Filed 8-28-14; 8:45 am]
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