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###### Department of Veterans Affairs

          - [OMB Control No. 2900-New (Employment Questionnaire)]

# AGENCY:

Veterans Benefits Administration, Department of Veterans Affairs.

# ACTION:

Notice.

# 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                         *irmnkess@vba.va.gov*. 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