[Federal Register Volume 78, Number 109 (Thursday, June 6, 2013)]
[Notices]
[Page 34175]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-13437]


-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0065]


Proposed Information Collection (Request for Employment 
Information in Connection With Claim for Disability Benefits) Activity: 
Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Veterans Benefits Administration (VBA) 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 extension of a currently approved collection, and allow 
60 days for public comment in response to the notice. This notice 
solicits comments on the information needed to determine a claimant's 
eligibility for increased disability benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 5, 2013.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email [email protected]. Please refer to ``OMB Control 
No. 2900-0065'' in any correspondence. During the comment period, 
comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or Fax (202) 632-8925.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 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: Request for Employment Information in Connection with Claim 
for Disability Benefits, VA Form 21-4192.
    OMB Control Number: 2900-0065.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4192 is used to request employment information 
from a claimant's employer. The collected data is used to determine the 
claimant's eligibility for increased disability benefits based on 
unemployability.
    Affected Public: Business or other for-profit.
    Estimated Annual Burden: 15,000 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 60,000.

    Dated: June 3, 2013.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Enterprise Records Service, Office of Information 
Security, Office of Information and Technology, U.S. Department of 
Veterans Affairs.
[FR Doc. 2013-13437 Filed 6-5-13; 8:45 am]
BILLING CODE 8320-01-P