Agency Information Collection Activities Under OMB Review, 44718 [05-15234]

Agencies

• DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 70, Number 148 (Wednesday, August 3, 2005)]
[Notices]
[Page 44718]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-15234]



[[Page 44718]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0545]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs (VA).

ACTION: Notice.

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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 September 2, 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. 2900-2900-0545.''
    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. 
2900-0545'' in any correspondence.
    Title: Report of Medical, Legal, and Other Expenses Incident to 
Recovery for Injury or Death, VA Form 21-8416b.
    OMB Control Number: 2900-0545.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants complete VA Form 21-8416b to report 
compensation awarded by another entity or government agency for 
personal injury or death. Such award is consider as countable income; 
however, medical, legal or other expenses incident to the injury or 
death, or incident to the collection or recovery of the compensation 
may be deducted from the amount awarded or settled. The information 
collected is used to determine the claimant's eligibility for income 
based benefits and the rate payable.
    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 April 4, 2005 at pages 17144-17145.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,125 hours.
    Estimated Average Burden Per Respondent: 45 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 1,500.

    Dated: July 26, 2005.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. 05-15234 Filed 8-2-05; 8:45 am]
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