Agency Information Collection (Application for Automobile or Other Conveyance and Adaptive Equipment): Activity Under OMB Review, 61779-61780 [2011-25588]

Download as PDF Federal Register / Vol. 76, No. 193 / Wednesday, October 5, 2011 / Notices The PRA submission describes the nature of the information collection and its expected cost and burden; it includes the actual data collection instrument. DEPARTMENT OF VETERANS AFFAIRS Comments must be submitted on or before November 4, 2011. Agency Information Collection (Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child): Activity Under OMB Review DATES: 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– 0107’’ in any correspondence. ADDRESSES: 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) 461–7485 or e-mail denise.mclamb@mail.va.gov. Please refer to ‘‘OMB Control No. 2900–0107.’’ mstockstill on DSK4VPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: Title: Certificate as to Assets, VA Form 21–4709. OMB Control Number: 2900–0107. Type of Review: Extension of a currently approved collection. Abstract: Fiduciaries are required to complete VA Form 214709 to report investment in savings, bonds and other securities that he or she received on behalf of beneficiaries who are incompetent or under legal disability. Estate analysts employed by VA use the data collected to verify the fiduciaries accounting of a beneficiary’s estate. 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 July 25, 2011, at pages 44400–44401. Affected Public: Individuals or households. Estimated Annual Burden: 863 hours. Estimated Average Burden per Respondent: 12 minutes. Frequency of Response: Annually. Estimated Number of Respondents: 4,316. Dated: September 29, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–25589 Filed 10–4–11; 8:45 am] BILLING CODE P VerDate Mar<15>2010 19:11 Oct 04, 2011 Jkt 226001 [OMB Control No. 2900–0004] 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 November 4, 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– 0004’’ 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) 461–7485 or e-mail denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0004.’’ SUPPLEMENTARY INFORMATION: Titles: a. Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable), VA Form 21–534. b. Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child—In-service Death Only, VA Form 21–543a. OMB Control Number: 2900–0004. Type of Review: Extension of a currently approved collection. Abstract: a. VA Form 21–534 is used to determine surviving spouse and/or children of veterans entitlement to dependency and indemnity SUMMARY: PO 00000 Frm 00116 Fmt 4703 Sfmt 4703 61779 compensation (DIC), death benefits,(including death compensation is applicable), and any accrued benefits not paid to the veteran prior to death. b. Military Casualty Assistance Officers complete VA Form 21–534a to assist surviving spouse and/or children of veterans who died on active duty in processing claims for dependency and indemnity compensation benefits. Accrued benefits and death compensation are not payable in claims for DIC. 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 July 25, 2011, at pages 44402–44403. Affected Public: Individuals or households. Estimated Annual Burden: a. VA Form 21–534—76,136 hours. b. VA Form 21–534a—600 hours. Estimated Average Burden per Respondent: a. VA Form 21–534—75 minutes. b. VA Form 21–534a—15 minutes. Frequency of Response: One time. Estimated Number of Respondents: a. VA Form 21–534—37,700. b. VA Form 21–534a—23,209. Dated: September 29, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–25587 Filed 10–4–11; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0067] Agency Information Collection (Application for Automobile or Other Conveyance and Adaptive Equipment): 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 SUMMARY: E:\FR\FM\05OCN1.SGM 05OCN1 61780 Federal Register / Vol. 76, No. 193 / Wednesday, October 5, 2011 / Notices its expected cost and burden; it includes the actual data collection instrument. Comments must be submitted on or before November 4, 2011. DATES: 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– 0067’’ in any correspondence. ADDRESSES: FOR FURTHER INFORMATION CONTACT: mstockstill on DSK4VPTVN1PROD with NOTICES Denise McLamb, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461– 7485, FAX (202) 461–7485 or e-mail VerDate Mar<15>2010 19:11 Oct 04, 2011 Jkt 226001 denise.mclamb@va.gov. Please refer to ‘‘OMB Control No. 2900–0067.’’ SUPPLEMENTARY INFORMATION: Title: Application for Automobile or other Conveyance and Adaptive Equipment (under 38 U.S.C. 3901– 3904), VA Form 21–4502. OMB Control Number: 2900–0067. Type of Review: Extension of a currently approved collection. Abstract: Veterans, servicepersons and their survivors complete VA Form 21–4502 to apply for automobile or other conveyance allowance, and reimbursement for the cost and installation of adaptive equipment. VA uses the information to determine the claimant’s eligibility for such benefits. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information PO 00000 Frm 00117 Fmt 4703 Sfmt 9990 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 July 25, 2011, at page 44402. Affected Public: Individuals or households. Estimated Annual Burden: 388. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One-time. Estimated Number of Respondents: 1,552. Dated: September 29, 2011. By direction of the Secretary. Denise McLamb, Program Analyst, Enterprise Records Service. [FR Doc. 2011–25588 Filed 10–4–11; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\05OCN1.SGM 05OCN1

Agencies

[Federal Register Volume 76, Number 193 (Wednesday, October 5, 2011)]
[Notices]
[Pages 61779-61780]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-25588]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0067]


Agency Information Collection (Application for Automobile or 
Other Conveyance and Adaptive Equipment): 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 Budget (OMB) for review and comment. The PRA submission describes 
the nature of the information collection and

[[Page 61780]]

its expected cost and burden; it includes the actual data collection 
instrument.

DATES: Comments must be submitted on or before November 4, 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. 2900-0067'' 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) 461-7485 or e-mail 
denise.mclamb@va.gov. Please refer to ``OMB Control No. 2900-0067.''

SUPPLEMENTARY INFORMATION:
    Title: Application for Automobile or other Conveyance and Adaptive 
Equipment (under 38 U.S.C. 3901-3904), VA Form 21-4502.
    OMB Control Number: 2900-0067.
    Type of Review: Extension of a currently approved collection.
    Abstract: Veterans, servicepersons and their survivors complete VA 
Form 21-4502 to apply for automobile or other conveyance allowance, and 
reimbursement for the cost and installation of adaptive equipment. VA 
uses the information to determine the claimant's eligibility for such 
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 July 25, 2011, at page 44402.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 388.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 1,552.

    Dated: September 29, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-25588 Filed 10-4-11; 8:45 am]
BILLING CODE 8320-01-P
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