[Federal Register Volume 89, Number 130 (Monday, July 8, 2024)]
[Notices]
[Pages 56024-56025]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-14882]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0065]


Agency Information Collection Activity Under OMB Review: Request 
for Employment Information in Connection With Claim for Disability 
Benefits

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

[[Page 56025]]


ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
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 Budget 
(OMB) for review and comment. The PRA submission describes the nature 
of the information collection and its expected cost and burden, and it 
includes the actual data collection instrument.

DATES: Comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
by clicking on the following link www.reginfo.gov/public/do/PRAMain, 
select ``Currently under Review--Open for Public Comments'', then 
search the list for the information collection by Title or ``OMB 
Control No. 2900-0065.''

FOR FURTHER INFORMATION CONTACT: 
    VA PRA information: Maribel Aponte, 202-461-8900, 
[email protected].

SUPPLEMENTARY INFORMATION: 
    Title: Request for Employment Information in Connection with Claim 
for Disability Benefits (VA Form 21-4192).
    OMB Control Number: 2900-0065 https://www.reginfo.gov/public/do/PRASearch.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-4192 is used to gather necessary employment 
information from veterans' employers so VA can determine eligibility to 
increased disability benefits based on unemployability. Without this 
information, determination of entitlement would not be possible. No 
changes have been made to this form. The respondent burden has 
increased due to the estimated number of receivables averaged over the 
past year.
    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 at 89 FR 35309, May 1, 2024.
    Affected Public: Private Sector.
    Estimated Annual Burden: 12,183 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 48,730 per year.
    Authority: 44 U.S.C. 3501 et seq.

Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data 
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2024-14882 Filed 7-5-24; 8:45 am]
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