[Federal Register Volume 70, Number 99 (Tuesday, May 24, 2005)]
[Notices]
[Page 29827]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-2593]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0079]


Agency Information Collection Activities 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, 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.

DATES: Comments must be submitted on or before June 23, 2005.

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 protected]. 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.

SUPPLEMENTARY 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.

    Dated: May 10, 2005.

    By direction of the Secretary.
Cindy Stewart,
Program Analyst, Records Management Service.
[FR Doc. E5-2593 Filed 5-23-05; 8:45 am]
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