30-Day FRN (2900-0858, VAF21-4142, 4142a)

56024

Federal Register / Vol. 89, No. 130 / Monday, July 8, 2024 / Notices

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0079]

Agency Information Collection Activity
Under OMB Review: Employment
Questionnaire
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, 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, and it
includes the actual data collection
instrument.

SUMMARY:

Comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice by clicking on the following link
www.reginfo.gov/public/do/PRAMain,
select ‘‘Currently under Review—Open
for Public Comments’’, then search the
list for the information collection by
Title or ‘‘OMB Control No. 2900–0079.’’
FOR FURTHER INFORMATION CONTACT:
VA PRA information: Maribel Aponte,
202–461–8900, vacopaperworkreduact@
va.gov.
SUPPLEMENTARY INFORMATION:
Title: Employment Questionnaire (VA
Form 21–4140).
OMB Control Number: 2900–0079
https://www.reginfo.gov/public/do/
PRASearch.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Forms 21–4140 is used
to gather the necessary information to
determine continued entitlement to
individual unemployability. Recipients
are required to certify, when requested,
that the eligibility factors which
established entitlement to the benefit
being paid continue to exist. Individual
unemployability is awarded based on a
veteran’s inability to be gainfully
employed due to service-connected
disabilities, and entitlement may be
terminated if a veteran begins working.
Without information about recipients’
employment, VA would not be able to
determine continued entitlement to
individual unemployability, and
overpayments would result. No changes
have been made to this form. The

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respondent burden has increased due to
the estimated number of receivables
averaged over the past year.
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 at Vol. 89
FR 35932, May 2, 2024.
Affected Public: Individual or
Households.
Estimated Annual Burden: 285 hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
3,422 per year.
Authority: 44 U.S.C. 3501 et seq.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2024–14839 Filed 7–5–24; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0858]

Agency Information Collection Activity
Under OMB Review: Authorization and
Consent To Release Information to VA,
General Release for Medical Provider
Information to VA
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

In compliance with the
Paperwork Reduction Act (PRA) of
1995, 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, and it
includes the actual data collection
instrument.

SUMMARY:

Comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice by clicking on the following link
www.reginfo.gov/public/do/PRAMain,
select ‘‘Currently under Review—Open
for Public Comments’’, then search the
list for the information collection by
Title or ‘‘OMB Control No. 2900–0858.’’

DATES:

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FOR FURTHER INFORMATION CONTACT:

VA PRA information: Maribel Aponte,
202–461–8900, vacopaperworkreduact@
va.gov.
SUPPLEMENTARY INFORMATION:
Title: Authorization and Consent to
Release Information to VA (VA Form
21–4142), General Release for Medical
Provider Information to VA (VA Form
21–4142a).
OMB Control Number: 2900–0858
https://www.reginfo.gov/public/do/
PRASearch.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–4142 is used to
authorize the disclosure of information
to the VA and VA Form 21–4142a is
used to gather the necessary information
to request medical provider information
to the VA. Without the information
solicited by these forms, VA would be
unable to determine eligibility, and
benefits would not be properly paid. No
changes have been made to these forms.
The respondent burden has increased
due to the estimated number of
receivables averaged over the past year.
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 at 89 FR
35308, May 1, 2024.
Affected Public: Individuals and
households.
Estimated Annual Burden: 36,687
hours.
Estimated Average Burden per
Respondent: 5 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
440,246 per year.
Authority: 44 U.S.C. 3501 et seq.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration, Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2024–14847 Filed 7–5–24; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0065]

Agency Information Collection Activity
Under OMB Review: Request for
Employment Information in
Connection With Claim for Disability
Benefits
Veterans Benefits
Administration, Department of Veterans
Affairs.

AGENCY:

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