[Federal Register Volume 70, Number 19 (Monday, January 31, 2005)]
[Notices]
[Page 4919]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-1707]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-New (Employment Questionnaire)]
Proposed Information Collection Activity: Proposed Collection;
Comment Request
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: 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 new
collection, and allow 60 days for public comment in response to the
notice. This notice solicits comments for information needed to
determine continued entitlement to benefits based on unemployment.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before April 1, 2005.
ADDRESSES: Submit written comments on the collection of information to
Nancy J. Kessinger, Veterans Benefits Administration (20M35),
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC
20420 or e-mail [email protected]. Please refer to ``OMB Control No.
2900-New (Employment Questionnaire)'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 273-7079
or FAX (202) 275-5947.
SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 104-13; 44
U.S.C. 3501-3521), 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 Forms 21-4140, 21-4140-1.
OMB Control Number: 2900-New (Employment Questionnaire).
Type of Review: New collection.
Abstract: Claimants who are under the age of 60 and receiving
individual unemployability, compensation at 100 percent rate are
required to complete VA Form 21-4140 and 21-4101-1 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.
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: January 19, 2005.
By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 05-1707 Filed 1-28-05; 8:45 am]
BILLING CODE 8320-01-P