Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of Veterans Affairs

          - [OMB Control No. 2900-0065]

# AGENCY:

Veterans Benefits Administration, Department of Veterans Affairs.

# ACTION:

Notice.

# 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                         *denise.mclamb@va.gov.*                         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]

BILLING CODE 8320-01-P