30-Day FRN (VAF21-4140)

2021-10298, 30-Day FRN (2900-0079).pdf

Employment Questionnaire (VA Form 21-4140)

30-Day FRN (VAF21-4140)

OMB: 2900-0079

Document [pdf]
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Federal Register / Vol. 86, No. 93 / Monday, May 17, 2021 / Notices
and Integration, Data Governance
Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email [email protected]. Please
refer to ‘‘OMB Control No. 2900–0094’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 38 U.S.C. 101 and 6104.
Title: Supplement to VA Forms 21–
526EZ, 21P–534EZ, and 21P–535 (For
Philippine Claims) (VA Form 21–4169).
OMB Control Number: 2900–0094.
Type of Review: Reinstatement of a
previously approved collection.
Abstract: VA Form 21–4169 is used to
gather the necessary information to
determine whether a claimant’s service
qualifies as service in the
Commonwealth Army of the Philippines
or recognized guerrilla organizations.
The form is used for the sole purpose of
collecting the information needed to
determine eligibility for benefits based
on such service, including service
information, proof of service, place of
residence, and membership in proJapanese, pro-German, or anti-American
Filipino organizations.
This is a reinstatement only with no
substantive changes. The respondent
burden has not changed.
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 86 FR
45 on March 10, 2021, pages 13789 and
13790.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 250.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
1,000.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–10297 Filed 5–14–21; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0079]

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

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.

SUMMARY:

Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function. Refer to ‘‘OMB Control
No. 2900–0079.’’
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 1717 H Street NW,
Washington, DC 20006, (202) 266–4688
or email [email protected]. Please
refer to ‘‘OMB Control No. 2900–0079’’
in any correspondence.
SUPPLEMENTARY INFORMATION:
Authority: 38 U.S.C. 501 and 5317.
Title: Employment Questionnaire (VA
Form 21–4140).
OMB Control Number: 2900–0079.
Type of Review: Reinstatement of a
previously approved collection.
Abstract: VA Forms 21–4140 is used
to gather the necessary information to
DATES:

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determine continued entitlement to
individual unemployability. 38 CFR
3.652 provides that recipients are
required to certify, when requested, that
the eligibility factors which established
entitlement to the benefit being paid
continue to exist. Individual
unemployability is awarded based on a
veteran’s inability to be gainfully
employed due to service-connected
disabilities, and entitlement may be
terminated if a veteran begins working.
Without information about recipients’
employment, VA would not be able to
determine continued entitlement to
individual unemployability, and
overpayments would result.
The respondent burden has decreased
due to the removal of one of the forms
listed within this collection. VA Form
21–4140 has not been changed; this is
a reinstatement only.
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 86 FR
46 on March 11, 2021, page 13969.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 247.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
2,960.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2021–10298 Filed 5–14–21; 8:45 am]
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