Information Collection

Veteran's Application for Increased Compensation Based on Unemployability (VA Form 21-8940)

IC 28617 under ICR 202403-2900-004 · OMB 2900-0404.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21-8940 Veteran's Application for Increased Compensation Based on Unemployability (VA Form 21-8940)	Form
VA Form 21-8940 Veteran's Application for Increased Compensation Based o 21-8940(5-14-24).pdf www.va.gov/vaforms	Form
VA Form 21-8940 Veteran's Application for Increased Compensation Based o 21-8940(5-14-24).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

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	VA Form 21-8940	Veteran's Application for Increased Compensation Based on Unemployability	21-8940(5-14-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: 58VA21/22/28 Compensation, Pension, Education and Veteran Readiness & Employment Records

FR Citation: 87 FR 8740

Number of Respondents: 67,411

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	67,411	47,802	19,609
Annual IC Time Burden (Hours)	50,558	35,851	14,707
Annual IC Cost Burden (Dollars)	0	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.