Veteran's Application for Increased Compensation Based on Individual Unemployability

ICR 200201-2900-029

OMB: 2900-0404

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0404 200201-2900-029
Historical Active 199811-2900-018
VA
Veteran's Application for Increased Compensation Based on Individual Unemployability
Extension without change of a currently approved collection   No
Regular
Approved without change 03/15/2002
Retrieve Notice of Action (NOA) 01/18/2002
  Inventory as of this Action Requested Previously Approved
04/30/2005 04/30/2005 03/31/2002
24,000 0 24,000
18,000 0 18,000
0 0 0

VA Form 21-8940 is used to gather the necessary information for a claim for increased compensation based on individual unemployability due to the veteran's service-connected disability(ies).

None
None


No

1
IC Title Form No. Form Name
Veteran's Application for Increased Compensation Based on Individual Unemployability 21-8940

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 24,000 24,000 0 0 0 0
Annual Time Burden (Hours) 18,000 18,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/18/2002


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