[Federal Register Volume 75, Number 239 (Tuesday, December 14, 2010)]
[Notices]
[Page 77958]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-31275]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0065]
Agency Information Collection (Request for Employment Information
in Connection With Claim for Disability Benefits) Activity Under OMB
Review
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: 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 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 January 13, 2011.
ADDRESSES: Submit written comments on the collection of information
through http://www.Regulations.gov or to VA's OMB Desk Officer, OMB
Human Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503 (202) 395-7316. Please refer to ``OMB
Control No. 2900-0065'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue,
NW., Washington, DC 20420, (202) 461-7485, FAX (202) 461-0966 or e-mail
[email protected]. Please refer to ``OMB Control No. 2900-0065.''
SUPPLEMENTARY INFORMATION:
Title: Request for Employment Information in Connection with Claim
for Disability Benefits, VA Form 21-4192.
OMB Control Number: 2900-0065.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 21-4192 is used to request employment information
from a claimant's employer. The collected data is used to determine the
claimant's eligibility for increased disability benefits based on
unemployability.
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 October 4, 2010, at page 61251.
Affected Public: Business or other for-profit.
Estimated Annual Burden: 15,000 hours.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 60,000.
Dated: December 8, 2010.
By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-31275 Filed 12-13-10; 8:45 am]
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