30-Day FRN - 2900-0079 (2014)

30-Day FRN - 2900-0079 (2014).pdf

Employment Questionnaire (21-4140 & 21-4140-1)

30-Day FRN - 2900-0079 (2014)

OMB: 2900-0079

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Federal Register / Vol. 79, No. 168 / Friday, August 29, 2014 / Notices
Estimated Average Burden Per
Respondent: 6 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents:
50.
Estimated Total Annual Responses:
600.
Dated: August 25, 2014.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–20550 Filed 8–28–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0079]

Agency Information Collection
(Employment Questionnaire) Activity
Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–3521), 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

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SUMMARY:

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Budget (OMB) for review and comment.
The PRA submission describes the
nature of the information collection and
its expected cost and burden; it includes
the actual data collection instrument.
DATES: Comments must be submitted on
or before September 29, 2014.
ADDRESSES: Submit written comments
on the collection of information through
www.Regulations.gov, or to Office of
Information and Regulatory Affairs,
Office of Management and Budget, Attn:
VA Desk Officer; 725 17th St. NW.,
Washington, DC 20503 or sent through
electronic mail 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:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
NW., Washington, DC 20420, (202) 632–
7492 or email [email protected].
Please refer to ‘‘OMB Control No. 2900–
0079’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Employment Questionnaire, VA
Forms 21–4140 and 21–4140–1.
OMB Control Number: 2900–0079.
Type of Review: Revision of a
currently approved collection.
Abstract: Claimants who are under
the age of 60 and receiving individual

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unemployability compensation at 100
percent rate are required to complete
VA Forms 21–4140 and 21–4140–1
certifying that they are still unable to
secure or follow a substantially gainful
occupation because of a service
connected-disability. VA will use the
information collected to determine the
claimant’s continued entitlement to
individual unemployability benefits.
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 on June
12, 2014, at pages 33813–33814.
Affected Public: Individuals or
households.
Estimated Annual Burden: 10,833
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
130,000.
Dated: August 26, 2014.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans
Affairs.
[FR Doc. 2014–20605 Filed 8–28–14; 8:45 am]
BILLING CODE 8320–01–P

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