Agency Information Collection Activities Under OMB Review, 15690-15691 [E5-1329]

Download as PDF 15690 Federal Register / Vol. 70, No. 58 / Monday, March 28, 2005 / Notices Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: irmnkess@vba.va.gov. Please refer to ‘‘OMB Control No. 2900–0324’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 273–7079 or FAX (202) 275–5947. SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104–13; 44 U.S.C. 3501–3520), 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. Titles: a. Supplemental Physical Examination Report, VA Form 29–8146. b. Attending Physician’s Statement, VA Form 29–8158. c. Supplemental Physical Examination Report (Diabetes— Physician’s Report), VA Form 29–8160. OMB Control Number: 2900–0324. Type of Review: Extension of a currently approved collection. Abstract: The forms are used to obtain information regarding the physical and/ or mental condition of a veteran who has submitted an application for Government Life Insurance or reinstatement of eligibility for such insurance. Affected Public: Individuals or households. Estimated Annual Burden: 1,080 hours. a. VA Form 29–8146—750 hours. b. VA Form 29–8158—165 hours. c. VA Form 29–8160—165 hours. Estimated Average Burden Per Respondent: a. VA Form 29–8146—45 minutes. b. VA Form 29–8158—45 minutes. c. VA Form 29–8160—45 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 1,440. VerDate jul<14>2003 15:12 Mar 25, 2005 Jkt 205001 a. VA Form 29–8146—220. b. VA Form 29–8158—1,000. c. VA Form 29–8160—220. Dated: March 17, 2005. By direction of the Secretary. Martin Hill, Management Analyst, Records Management Service. [FR Doc. E5–1327 Filed 3–25–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0605] Agency Information Collection Activities Under OMB Review Office of General Counsel, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the Office of General Counsel (OGC), Department of Veterans Affairs, has submitted 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; it includes the actual data collection instrument. DATES: Comments must be submitted on or before April 27, 2005. FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273–8030, FAX (202) 273–5981 or e-mail: denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0605.’’ Send comments and recommendations concerning any aspect of the information collection to VA’s OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503, (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0605’’ in any correspondence. SUPPLEMENTARY INFORMATION: Title: Application for Accreditation as a Claims Agent, VA Form 21a. OMB Control Number: 2900–0605. Type of Review: Extension of a currently approved collection. Abstract: Applicants seeking accreditation as claims agents to represent benefits claimants before Department of Veterans Affairs must complete VA Form 21a. The applicant is PO 00000 Frm 00078 Fmt 4703 Sfmt 4703 required to file the application with VA General Counsel to establish initial eligibility for accreditation. The information requested is necessary to establish the statutory and regulatory eligibility requirements, e.g., good character and reputation which includes basic identifying information, information concerning past representation, military service, employment, criminal activity and mental health of the applicant. VA uses the information to determine the applicant’s eligibility for accreditation as a claims agent. 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 on December 23, 2004, at page 76976. Affected Public: Individuals or households. Estimated Annual Burden: 15 hours. Estimated Average Burden Per Respondent: 45 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 20. Dated: March 17, 2005. By direction of the Secretary. Martin Hill, Management Analyst, Records Management Service. [FR Doc. E5–1328 Filed 3–25–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0114] Agency Information Collection Activities Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–21), this notice announces that the Veterans Benefits Administration (VBA), Department of Veterans Affairs, has submitted 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 includes the actual data collection instrument. E:\FR\FM\28MRN1.SGM 28MRN1 Federal Register / Vol. 70, No. 58 / Monday, March 28, 2005 / Notices Comments must be submitted on or before April 27, 2005. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., or email denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900– 0114.’’ Send comments and recommendations concerning any aspect of the information collection to VA’s OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503, (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– 0114’’ in any correspondence. 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, 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: Statement of Marital Relationship, VA Form 21–4170. OMB Control Number: 2900–0114. Type of Review: Revision of a currently approved collection. Abstract: Persons claiming to be common law widows/widowers of deceased veterans and veterans and their claimed common law spouses complete VA Form 21–4170 to establish marital status. VA uses the information collected to determine whether the common law marriage was valid under the law of the place where the parties resided at the time of the marriage or under the law of the place where the parties resided when the right to benefits accrued. 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 DATES: VerDate jul<14>2003 15:12 Mar 25, 2005 Jkt 205001 soliciting comments on this collection of information was published on December 1, 2004 at page 69992. Affected Public: Individuals or households. Estimated Annual Burden: 2,708 hours. Estimated Average Burden Per Respondent: 25 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 6,500. Dated: March 17, 2005. By direction of the Secretary. Martin Hill, Management Analyst, Records Management Service. [FR Doc. E5–1329 Filed 3–25–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Agency Information Collection Activities Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs ACTION: Notice. AGENCY: SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the Veterans Benefits Administration (VBA), Department of Veterans Affairs, has submitted 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; it includes the actual data collection instrument. DATES: Comments must be submitted on or before April 27, 2005. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273–8030, FAX (202) 273–5981 or e-mail denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–NEW.’’ Send comments and recommendations concerning any aspect of the information collection to VA’s OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503, (202) 395–7316. Please refer to ‘‘OMB Control No. 2900– NEW’’ in any correspondence SUPPLEMENTARY INFORMATION: Titles: PO 00000 Frm 00079 Fmt 4703 Sfmt 4703 15691 a. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD), VA Form 21– 0781. b. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 21–0781a. OMB Control Number: 2900–NEW. Type of Review: New collection. Abstract: Veterans seeking compensation for post-traumatic stress disorder and need VA’s assistance in obtaining evidence from military records and other sources to substantiate their claims of in-service stressors must complete VA Forms 21– 0781 and 21–0791a. If the veteran did not serve in combat or was not a prisoner of war and is claiming compensation for post-traumatic stress disorder due to in-service stressors, he or she must provide credible supporting evidence that the claimed in-service stressor occurred. 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 on December 1, 2004 at pages 69990–6991. Affected Public: Individuals or households. Estimated Annual Burden: 17,780 hours. Estimated Average Burden Per Respondent: 70 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 15,240. Dated: March 17, 2005. By direction of the Secretary. Martin Hill, Management Analyst, Records Management Service. [FR Doc. E5–1330 Filed 3–25–05; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0601] Agency Information Collection Activities Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the Veterans Benefits E:\FR\FM\28MRN1.SGM 28MRN1

Agencies

[Federal Register Volume 70, Number 58 (Monday, March 28, 2005)]
[Notices]
[Pages 15690-15691]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-1329]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0114]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C. 3501-21), this notice announces that the Veterans Benefits 
Administration (VBA), Department of Veterans Affairs, has submitted 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 includes the actual data collection instrument.

[[Page 15691]]


DATES: Comments must be submitted on or before April 27, 2005.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management 
Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., or e-mail denise.mclamb@mail.va.gov. Please refer to ``OMB Control 
No. 2900-0114.'' Send comments and recommendations concerning any 
aspect of the information collection to VA's OMB Desk Officer, OMB 
Human Resources and Housing Branch, New Executive Office Building, Room 
10235, Washington, DC 20503, (202) 395-7316. Please refer to ``OMB 
Control No. 2900-0114'' in any correspondence.

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, 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: Statement of Marital Relationship, VA Form 21-4170.
    OMB Control Number: 2900-0114.
    Type of Review: Revision of a currently approved collection.
    Abstract: Persons claiming to be common law widows/widowers of 
deceased veterans and veterans and their claimed common law spouses 
complete VA Form 21-4170 to establish marital status. VA uses the 
information collected to determine whether the common law marriage was 
valid under the law of the place where the parties resided at the time 
of the marriage or under the law of the place where the parties resided 
when the right to benefits accrued.
    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 on December 1, 2004 at page 69992.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 2,708 hours.
    Estimated Average Burden Per Respondent: 25 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 6,500.

    Dated: March 17, 2005.

    By direction of the Secretary.
Martin Hill,
Management Analyst, Records Management Service.
[FR Doc. E5-1329 Filed 3-25-05; 8:45 am]
BILLING CODE 8320-01-P
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