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

Documents and Forms

Document Name Document Type
Form VA Form 21-8940 Veteran's Application for Increased Compensation Based on Unemployability (VA Form 21-8940) Form
VA Form 21-8940 Veteran's Application for Increased Compensation Based o 21-8940(5-14-24).pdf www.va.gov/vaforms Form
VA Form 21-8940 Veteran's Application for Increased Compensation Based o 21-8940(5-14-24).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

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	Veteran's Application for Increased Compensation Based on Unemployability	21-8940(5-14-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 58VA21/22/28 Compensation, Pension, Education and Veteran Readiness & Employment Records	FR Citation: 87 FR 8740

Number of Respondents: 67,411	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	67,411	47,802	19,609
Annual IC Time Burden (Hours)	50,558	35,851	14,707
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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