Proposed Information Collection (Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC) Activity: Comment Request, 7530 [2015-02677]

Download as PDF 7530 Federal Register / Vol. 80, No. 27 / Tuesday, February 10, 2015 / Notices Written comments and recommendations on the proposed collection of information should be received on or before April 13, 2015. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Dawn M. Eggers, VA Debt Management Center, Bishop Henry Whipple Federal Building, P.O. Box 11930, St. Paul, MN 55111–0930 or email to: dawn.eggers@ va.gov. Please refer to ‘‘OMB Control No. 2900–0165’’ in any correspondence. During the comment period, comments may be viewed online through FDMS. FOR FURTHER INFORMATION CONTACT: Dawn M. Eggers at (612) 713–6361 or FAX (612) 970–5687. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 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, OM invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of OM’s functions, including whether the information will have practical utility; (2) the accuracy of OM’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: Financial Status Report, VA Form 5655. OMB Control Number: 2900–0165. Type of Review: Revision of a currently approved collection. Abstract: Claimants complete VA Form 5655 to report their financial status. VA uses the data collected to determine the claimant’s eligibility for a waiver of collection, setup a payment plan or for the acceptance of a compromise offer on their VA benefit debt. Affected Public: Individuals or households. Estimated Annual Burden: 95,570 hours. Estimated Average Burden per Respondent: 1 hour. Frequency of Response: Annually. Estimated Number of Respondents: 95,570. rljohnson on DSK3VPTVN1PROD with NOTICES DATES: VerDate Sep<11>2014 15:20 Feb 09, 2015 Jkt 235001 Dated: February 5, 2015. By direction of the Secretary. Crystal Rennie, Department Clearance Officer, Department of Veterans Affairs. [FR Doc. 2015–02673 Filed 2–9–15; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0826] Proposed Information Collection (Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC) Activity: Comment Request Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 revision of a currently approved collection, and allow 60 days for public comment in response to the notice. VA Form 21–0966 will be used by claimants and/or their authorized representatives to indicate an intent to file a claim for compensation and/or pension, or survivors pension and/or DIC, to establish an effective date for an award granted in association with a complete claim filed within 1 year of such form. DATES: Written comments and recommendations on the proposed collection of information should be received on or before April 13, 2015. ADDRESSES: Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to nancy.kessinger@va.gov. Please refer to ‘‘OMB Control No. 2900–0826’’ in any correspondence. During the comment period, comments may be viewed online through the FDMS. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632–8924 or FAX (202) 632–8925. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. SUMMARY: PO 00000 Frm 00129 Fmt 4703 Sfmt 9990 3501–21), 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: Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21–0966). OMB Control Number: 2900–0826. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21–0966 will be used by claimants and/or their authorized representatives to indicate intent to file a claim for compensation and/or disability benefits to establish an effective date for an award granted in association with a complete claim filed within 1 year of such form. VA will use this form to identify claimants in its internal business operational systems to record the date of receipt of this document for the purposes of establishing a date of claim for a complete claim that is filed within 1 year. VA also uses the information to furnish the claimant with the appropriate VA form or application for VA benefits. Affected Public: Individuals or households. Estimated Annual Burden: 181,140. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One time. Estimated Number of Respondents: 724,561. Dated: February 5, 2015. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, Department of Veterans Affairs. [FR Doc. 2015–02677 Filed 2–9–15; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\10FEN1.SGM 10FEN1

Agencies

DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 80, Number 27 (Tuesday, February 10, 2015)]
[Notices]
[Page 7530]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-02677]


-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0826]


Proposed Information Collection (Intent To File a Claim for 
Compensation and/or Pension, or Survivors Pension and/or DIC) Activity: 
Comment Request

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 revision of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice. VA Form 21-0966 will be used by claimants 
and/or their authorized representatives to indicate an intent to file a 
claim for compensation and/or pension, or survivors pension and/or DIC, 
to establish an effective date for an award granted in association with 
a complete claim filed within 1 year of such form.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 13, 2015.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to nancy.kessinger@va.gov. Please refer to ``OMB Control 
No. 2900-0826'' in any correspondence. During the comment period, 
comments may be viewed online through the FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-21), 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: Intent to File a Claim for Compensation and/or Pension, or 
Survivors Pension and/or DIC (VA Form 21-0966).
    OMB Control Number: 2900-0826.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-0966 will be used by claimants and/or their 
authorized representatives to indicate intent to file a claim for 
compensation and/or disability benefits to establish an effective date 
for an award granted in association with a complete claim filed within 
1 year of such form. VA will use this form to identify claimants in its 
internal business operational systems to record the date of receipt of 
this document for the purposes of establishing a date of claim for a 
complete claim that is filed within 1 year. VA also uses the 
information to furnish the claimant with the appropriate VA form or 
application for VA benefits.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 181,140.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 724,561.


    Dated: February 5, 2015.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-02677 Filed 2-9-15; 8:45 am]
BILLING CODE 8320-01-P

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.