Information Collection

Veteran's Application for Increased Compensation Based on Unemployability

IC 28617 under ICR 201309-2900-011 · OMB 2900-0404.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0404 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21-8940 Veteran's Application for Increased Compensation Based on Unemployability Veteran's Application for Increased Compensation Based on Unemployability	Form
21-8940 Veteran's Application for Increased Compensation Based o 21-8940-ARE.pdf www.va.gov/vaforms/	Form

IC Title:

Veteran's Application for Increased Compensation Based on Unemployability

Agency IC Tracking Number:

2900-0404 VBA-COMP-NK

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 38 CFR 3.340 38 CFR 3.341 38 CFR 4.16

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21-8940			http://www.va.gov/vaforms/	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28),â

FR Citation: 77 FR 42593

Number of Respondents: 24,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	18,000	18,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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