[Federal Register Volume 76, Number 141 (Friday, July 22, 2011)]
[Notices]
[Pages 44087-44088]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-18545]


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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

[[Page 44088]]

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 August 22, 2011.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov or 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.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, fax (202) 461-0966 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-0079.''

SUPPLEMENTARY INFORMATION:
    Title: Employment Questionnaire, VA Forms 21-4140 and 21-4140-1.
    OMB Control Number: 2900-0079.
    Type of Review: Extension 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 May 11, 2011, at page 27386.
    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: July 19, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-18545 Filed 7-21-11; 8:45 am]
BILLING CODE 8320-01-P