Agency Information Collection (Employment Questionnaire) Activity Under OMB Review, 44087-44088 [2011-18545]

Download as PDF Federal Register / Vol. 76, No. 141 / Friday, July 22, 2011 / Notices Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18542 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0075] Agency Information Collection (Statement in Support of Claim) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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. DATES: Comments must be submitted on or before August 22, 2011. ADDRESSES: Submit written comments on the collection of information through https://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– 0075’’ 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) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0075.’’ SUPPLEMENTARY INFORMATION: Title: Statement in Support of Claim, VA Form 21–4138. OMB Control Number: 2900–0075. Type of Review: Extension of a currently approved collection. Abstract: Statements submitted by or on behalf of a claimant must contain a certification by the respondent that the information provided to VA is true and correct in support of various types of benefit claims processed by VA. VA Form 21–4138 is to used collect the statement in support of such claims. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 17:59 Jul 21, 2011 Jkt 223001 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 May 11, 2011, at page 27383. Affected Public: Individuals or households. Estimated Annual Burden: 188,000 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: On occasion. Estimated Number of Respondents: 752,000. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18543 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0094] Agency Information Collection (Supplement to VA Forms 21–526, 21– 534, and 21–535 (For Philippine Claims)) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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. DATES: Comments must be submitted on or before August 22, 2011. ADDRESSES: Submit written comments on the collection of information through https://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– 0094’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, SUMMARY: PO 00000 Frm 00107 Fmt 4703 Sfmt 4703 44087 NW., Washington, DC 20420, (202) 461– 7485, fax (202) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0094.’’ SUPPLEMENTARY INFORMATION: Title: Supplement to VA Forms 21– 526, 21–534, and 21–535 (For Philippine Claims), VA Form 21–4169. OMB Control Number: 2900–0094. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–4169 is used to collect certain applicants’ service information, place of residence, proof of service, and whether the applicant was a member of pro-Japanese, pro-German, or anti-American Filipino organizations. VA uses the information collected to determine the applicant’s eligibility for benefits based on Commonwealth Army of the Philippines or recognized guerrilla services. 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 May 11, 2011, at page 27379. Affected Public: Individuals or households. Estimated Annual Burden: 250 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 1,000. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18544 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0079] Agency Information Collection (Employment Questionnaire) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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 SUMMARY: E:\FR\FM\22JYN1.SGM 22JYN1 mstockstill on DSK4VPTVN1PROD with NOTICES 44088 Federal Register / Vol. 76, No. 141 / Friday, July 22, 2011 / Notices 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 August 22, 2011. ADDRESSES: Submit written comments on the collection of information through https://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– 0079’’ 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) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0079.’’ SUPPLEMENTARY INFORMATION: Title: Employment Questionnaire, VA Forms 21–4140 and 21–4140–1. OMB Control Number: 2900–0079. Type of Review: Extension of a currently approved collection. Abstract: Claimants who are under the age of 60 and receiving individual unemployability compensation at 100 percent rate are required to complete VA Forms 21–4140 and 21–4140–1 certifying that they are still unable to secure or follow a substantially gainful occupation because of a service connected-disability. VA will use the information collected to determine the claimant’s continued entitlement to individual unemployability benefits. 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 May 11, 2011, at page 27386. Affected Public: Individuals or households. Estimated Annual Burden: 10,833 hours. Estimated Average Burden per Respondent: 5 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 130,000. Dated: July 19, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–18545 Filed 7–21–11; 8:45 am] BILLING CODE 8320–01–P VerDate Mar<15>2010 17:59 Jul 21, 2011 Jkt 223001 DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0101] Agency Information Collection (Eligibility Verification Reports) Activity Under OMB Review Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: 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. DATES: Comments must be submitted on or before August 22, 2011. ADDRESSES: Submit written comments on the collection of information through https://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– 0101’’ 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) 461–0966 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0101.’’ SUPPLEMENTARY INFORMATION: Titles: Eligibility Verification Reports (EVR). a. Eligibility Verification Report Instructions, VA Form 21–0510. b. Old Law and Section 306 Eligibility Verification Report (Surviving Spouse), VA Form 21–0512S–1. c. Old Law and Section 306 Eligibility Verification Report (Veteran), VA Form 21–0512V–1. d. Old Law and Section 306 Eligibility Verification Report (Children Only), VA Form 21–0513–1. e. DIC Parent’s Eligibility Verification Report, VA Forms 21–0514 and 21– 0514–1. f. Improved Pension Eligibility Verification Report (Veteran With No Children), VA Forms 21–0516 and 21– 0516–1. g. Improved Pension Eligibility Verification Report (Veteran With SUMMARY: PO 00000 Frm 00108 Fmt 4703 Sfmt 4703 Children), VA Forms 21–0517 and 21– 0517–1. h. Improved Pension Eligibility Verification Report (Surviving Spouse With No Children), VA Forms 21–0518 and 21–0518–1. i. Improved Pension Eligibility Verification Report (Child or Children), VA Forms 21–0519C and 21–0519C–1. j. Improved Pension Eligibility Verification Report (Surviving Spouse With Children), VA Forms 21–0519S and 21–0519S–1. OMB Control Number: 2900–0101. Type of Review: Extension of a currently approved collection. Abstract: VA uses Eligibility Verification Reports (EVR) forms to verify a claimant’s continued entitlement to benefits. Claimants who applied for or receives Improved Pension or Parents’ Dependency and Indemnity Compensation must promptly notify VA in writing of any changes in entitlement factors. EVRs are required annually by beneficiaries whose social security number (SSN) or whose spouse’s SSN is not verified, or who has income other than Social Security. Recipients of Old Law and Section 306 Pension are no longer required to submit annual EVRs unless there is a change in their income. 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 May 11, 2011, at pages 27383–27384. Affected Public: Individuals or households. Estimated Annual Burden: 113,075 hours. The annual burden for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21–0514–1, 21–0516, 21– 0516–1, 21–0518, 21–0518–1, 21– 0519C, and 21–0519C–1 is 98,775 and 14,300 for VA Forms 21–0517, 21– 0517–1, 21–0519S, and 21–0519S–1. Estimated Average Burden per Respondent: The estimated burden respondent for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21– 0514–1, 21–0516, 21–0516–1, 21–0518, 21–0518–1, 21–0519C, and 21–0519C–1 is 30 minutes and 40 minutes for VA Forms 21–0517, 21–0517–1, 21–0519S, and 21–0519S–1. Frequency of Response: Annually. Estimated Number of Respondents: 219,000. The number of respondents for VA Forms 21–0512S–1, 21–0512V–1, 21–0513–1, 21–0514, 21–0514–1, 21– 0516, 21–0516–1, 21–0518, 21–0518–1, 21–0519C, and 21–0519C–1 is 197,550 E:\FR\FM\22JYN1.SGM 22JYN1

Agencies

[Federal Register Volume 76, Number 141 (Friday, July 22, 2011)]
[Notices]
[Pages 44087-44088]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-18545]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0079]


Agency Information Collection (Employment Questionnaire) Activity 
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

[[Page 44088]]

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 August 22, 2011.

ADDRESSES: Submit written comments on the collection of information 
through https://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. 2900-0079'' 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) 461-0966 or e-mail 
denise.mclamb@va.gov. Please refer to ``OMB Control No. 2900-0079.''

SUPPLEMENTARY INFORMATION:
    Title: Employment Questionnaire, VA Forms 21-4140 and 21-4140-1.
    OMB Control Number: 2900-0079.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants who are under the age of 60 and receiving 
individual unemployability compensation at 100 percent rate are 
required to complete VA Forms 21-4140 and 21-4140-1 certifying that 
they are still unable to secure or follow a substantially gainful 
occupation because of a service connected-disability. VA will use the 
information collected to determine the claimant's continued entitlement 
to individual unemployability benefits.
    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 May 11, 2011, at page 27386.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 10,833 hours.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 130,000.

    Dated: July 19, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-18545 Filed 7-21-11; 8:45 am]
BILLING CODE 8320-01-P
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