[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 
<a href="/cdn-cgi/l/email-protection#99fdfcf7f0eafcb7f4faf5f8f4fbd9eff8b7fef6ef"><span class="__cf_email__" data-cfemail="c8acada6a1bbade6a5aba4a9a5aa88bea9e6afa7be">[email protected]</span></a>. 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


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