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Federal Register / Vol. 82, No. 35 / Thursday, February 23, 2017 / Notices

be summarized and/or included in the
request for OMB approval. All
comments will become a matter of
public record. Comments are invited on:
(a) Whether the collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the collection of
information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information.
Approved: February 14, 2017.
R. Joseph Durbala,
IRS, Tax Analyst.
[FR Doc. 2017–03550 Filed 2–22–17; 8:45 am]
BILLING CODE 4830–01–P

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))
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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

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SUMMARY:

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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

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Fmt 4703

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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

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0660]

Agency Information Collection
Activity: Request for Contact
Information (VA Form Letter 21–30)
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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 Form Letter 21–30 is used to
locate a fiduciary, beneficiary, claimant,
or witness when a field examination is
necessary in order to gather information
that is needed to maintain program
integrity.

SUMMARY:

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
DATES:

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