Veteran's Application for Increased Compensation Based on Unemployability (21-8940)

Veteran's Application for Increased Compensation Based on Unemployability (VA Form 21-8940)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0404 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21-8940 Veteran's Application for Increased Compensation Based on Unemployability (21-8940) Form
VA Form 21-8940 Veterans Application for Increased Compensation Based on 21-8940(6-20-17).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Veteran's Application for Increased Compensation Based on Unemployability (21-8940)	Agency IC Tracking Number:	2900-0404

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.341 38 CFR 4.16 38 CFR 3.340

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-8940	Veterans Application for Increased Compensation Based on Unemployability	21-8940(6-20-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	18,000	18,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.