[Federal Register Volume 70, Number 19 (Monday, January 31, 2005)]
[Notices]
[Page 4919]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-1707]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New (Employment Questionnaire)]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information by the agency. Under 
the Paperwork Reduction Act (PRA) of 1995, Federal agencies are 
required to publish notice in the Federal Register concerning each 
proposed collection of information, including each proposed new 
collection, and allow 60 days for public comment in response to the 
notice. This notice solicits comments for information needed to 
determine continued entitlement to benefits based on unemployment.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 1, 2005.

ADDRESSES: Submit written comments on the collection of information to 
Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 
20420 or e-mail [email protected]. Please refer to ``OMB Control No. 
2900-New (Employment Questionnaire)'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 273-7079 
or FAX (202) 275-5947.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 104-13; 44 
U.S.C. 3501-3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VBA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VBA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VBA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Title: Employment Questionnaire, VA Forms 21-4140, 21-4140-1.
    OMB Control Number: 2900-New (Employment Questionnaire).
    Type of Review: New collection.
    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.
    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: January 19, 2005.
    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 05-1707 Filed 1-28-05; 8:45 am]
BILLING CODE 8320-01-P