Agency Information Collection (Veteran's Application for Compensation and/or Pension) Activities Under OMB Review, 65207 [E9-29304]

Download as PDF Federal Register / Vol. 74, No. 235 / Wednesday, December 9, 2009 / Notices DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0001] Agency Information Collection (Veteran’s Application for Compensation and/or Pension) Activities Under OMB Review WReier-Aviles on DSKGBLS3C1PROD with NOTICES 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. 3501–3521), 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; it includes the actual data collection instrument. DATE: Comments must be submitted on or before January 8, 2010. ADDRESSES: Submit written comments on the collection of information through http://www.Regulations.gov; or 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– 0001’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461– 7485, fax (202) 273–0443 or e-mail denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0001.’’ SUPPLEMENTARY INFORMATION: Titles: a. Veteran’s Application for Compensation and/or Pension, VA Form 21–526. b. Veteran’s Supplemental Claim Application, VA Form 21–526b. c. Authorization and Consent Release Information to the Department of Veterans Affairs (VA), VA Form 21– 4142. OMB Control Number: 2900–0001. Type of Review: Revision of a currently approved collection. Abstracts: a. Veterans complete VA Form 21–526 to apply for compensation and/or pension benefits. b. Veterans who previously filed a claim using VA Form 21–526, Application for Compensation or Pension, and who wish to request an VerDate Nov<24>2008 15:02 Dec 08, 2009 Jkt 220001 increase in a service connected condition, reopen their claim for a previously denied claim, and/or file a claim for a new service-connected condition must complete VA Form 21– 526b. VA Form 21–526b will be used for supplemental claims for disability compensation. c. Veterans who need VA’s assistance in obtaining non-VA medical records must complete VA Form 21–4142. 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 September 9, 2009, at pages 49916– 49917. Affected Public: Individuals or households. Estimated Annual Burden: a. VA Form 21–526—391,708. b. VA Form 21–526b—50,000. c. VA Form 21–4142—274. Estimated Average Burden per Respondent: a. VA Form 21–526—1 hour. b. VA Form 21–526b—15 minutes. c. VA Form 21–4142—5 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: a. VA Form 21–526—391,708. b. VA Form 21–526b—200,000. c. VA Form 21–4142—3,292. Dated: December 4, 2009. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. E9–29304 Filed 12–8–09; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0376] Agency Information Collection (Agent Orange Registry Code Sheet) Activities Under OMB Review AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501–3521), this notice announces that the Veterans Health Administration (VHA), 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 PO 00000 Frm 00120 Fmt 4703 Sfmt 4703 65207 nature of the information collection and its expected cost and burden and includes the actual data collection instrument. DATE: Comments must be submitted on or before January 8, 2010. ADDRESSES: Submit written comments on the collection of information through http://www.Regulations.gov; or 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– 0376’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461– 7485, fax (202) 273–0443 or e-mail denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0376.’’ SUPPLEMENTARY INFORMATION: Title: Agent Orange Registry Code Sheet, VA Form 10–9009. OMB Control Number: 2900–0376. Type of Review: Extension of a currently approved collection. Abstract: VA in an ongoing effort to maintain an Agent Orange Registry (AOR) developed a reporting format to facilitate the collection of information obtained from veterans during the Agent Orange registry examination process. VA is required to organize and update the information contained in AOR to be able to notify Vietnam era veterans who served in the Republic of Vietnam of any increased health risks resulting from exposure to dioxin or other toxic agents. VA may also provide, upon request, a health examination, consultation, and counseling veterans who are eligible for listing or inclusion in any health-related registry administrated by VA that is similar to the Persian Gulf War Veterans Health Registry. Registry examinations is provided to veterans who served in Korea in 1968 or 1969, and/or any U.S. veteran who may have been exposed to dioxin, or other toxic substance in a herbicide or defoliant, during the conduct of, or as a result of, the testing, transporting, or spraying of herbicides, and who requests an Agent Orange Registry examination. VA will enter the information obtained from the veteran during the interview on VA Form 10– 9009, Agent Orange Registry Code Sheet. The registry will provide a mechanism that will catalogue prominent symptoms, reproductive health, and diagnoses and to communicate with Agent Orange veterans. VA will inform the veterans on research finding or new compensation E:\FR\FM\09DEN1.SGM 09DEN1

Agencies

[Federal Register Volume 74, Number 235 (Wednesday, December 9, 2009)]
[Notices]
[Page 65207]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-29304]



[[Page 65207]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0001]


Agency Information Collection (Veteran's Application for 
Compensation and/or Pension) 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. 3501-3521), 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; it includes the actual data collection instrument.

DATE: Comments must be submitted on or before January 8, 2010.

ADDRESSES: Submit written comments on the collection of information 
through http://www.Regulations.gov; or 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. 2900-0001'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, fax (202) 273-0443 or e-mail 
denise.mclamb@mail.va.gov. Please refer to ``OMB Control No. 2900-
0001.''

SUPPLEMENTARY INFORMATION:
    Titles:
    a. Veteran's Application for Compensation and/or Pension, VA Form 
21-526.
    b. Veteran's Supplemental Claim Application, VA Form 21-526b.
    c. Authorization and Consent Release Information to the Department 
of Veterans Affairs (VA), VA Form 21-4142.
    OMB Control Number: 2900-0001.
    Type of Review: Revision of a currently approved collection.
    Abstracts:
    a. Veterans complete VA Form 21-526 to apply for compensation and/
or pension benefits.
    b. Veterans who previously filed a claim using VA Form 21-526, 
Application for Compensation or Pension, and who wish to request an 
increase in a service connected condition, reopen their claim for a 
previously denied claim, and/or file a claim for a new service-
connected condition must complete VA Form 21-526b. VA Form 21-526b will 
be used for supplemental claims for disability compensation.
    c. Veterans who need VA's assistance in obtaining non-VA medical 
records must complete VA Form 21-4142.
    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 September 9, 2009, at pages 49916-49917.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. VA Form 21-526--391,708.
    b. VA Form 21-526b--50,000.
    c. VA Form 21-4142--274.
    Estimated Average Burden per Respondent:
    a. VA Form 21-526--1 hour.
    b. VA Form 21-526b--15 minutes.
    c. VA Form 21-4142--5 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents:
    a. VA Form 21-526--391,708.
    b. VA Form 21-526b--200,000.
    c. VA Form 21-4142--3,292.

    Dated: December 4, 2009.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-29304 Filed 12-8-09; 8:45 am]
BILLING CODE 8320-01-P