Information Collection

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

IC 28617 under ICR 202009-2900-013 · OMB 2900-0404.

⚠️ Notice: This information collection may be referencing outdated material.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 (VA Form 21-8940) Form
VA Form 21-8940 Veterans Application for Increased Compensation Based on 21-8940(2-03-21).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:	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(2-03-21).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 Vocational Rehabilitation & Employment Records	FR Citation: 86 FR 10114

Number of Respondents: 19,609	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	19,609	-4,391	24,000
Annual IC Time Burden (Hours)	14,707	-3,293	18,000
Annual IC Cost Burden (Dollars)	0	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.