[Federal Register Volume 82, Number 35 (Thursday, February 23, 2017)]
[Notices]
[Page 11498]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-03470]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0079]


Agency Information Collection Activity (Employment Questionnaire 
(VA Form 21-4140 and VA Form 21-4140-1))

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 revision of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice.
    VA Forms 21-4140 and 21-4140-1 are to be used to gather the 
necessary information to determine continued entitlement to individual 
unemployability for veterans who are unable to secure or follow a 
substantially gainful occupation as a result of his or her service-
connected disabilities. Additionally, per 38 CFR 3.901, veterans must 
knowingly submit false information in order for it to be considered 
fraud. Therefore, VA requires veterans who are receiving individual 
unemployability benefits to certify that they are still unemployed or 
are marginally employed. The form will be completed annually by all 
recipients of individual unemployability who are under age 60.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 24, 2017.

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 (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to [email protected]. 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: 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. 3501-21), 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 Form 21-4140 and VA Form 21-
4140-1)).
    OMB Control Number: 2900-0079.
    Type of Review: Revision of an approved collection.
    Abstract: VA Forms 21-4140 and 21-4140-1 are to be used to gather 
the necessary information to determine continued entitlement to 
individual unemployability for veterans who are unable to secure or 
follow a substantially gainful occupation as a result of his or her 
service-connected disabilities. Additionally, per 38 CFR 3.901, 
veterans must knowingly submit false information in order for it to be 
considered fraud. Therefore, VA requires veterans who are receiving 
individual unemployability benefits to certify that they are still 
unemployed or are marginally employed. The form will be completed 
annually by all recipients of individual unemployability who are under 
age 60.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 10,833.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 130,000.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2017-03470 Filed 2-22-17; 8:45 am]
 BILLING CODE 8320-01-P