Agency Information Collection (Request for Employment Information in Connection With Claim for Disability Benefits) Activity Under OMB Review, 57926 [2013-22923]

Download as PDF 57926 Federal Register / Vol. 78, No. 183 / Friday, September 20, 2013 / Notices DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0216] Agency Information Collection (Application for Accrued Amounts Due a Deceased Beneficiary) 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 October 21, 2013. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0216’’ in any correspondence. FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0216.’’ SUMMARY: mstockstill on DSK4VPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: Title: Application for Accrued Amounts Due a Deceased Beneficiary, VA Form 21–601. OMB Control Number: 2900–0216. Type of Review: Extension of a currently approved collection. Abstract: The information collected on VA Form 21–601 is use to determine a claimant’s entitlement to accrued benefits that was due to a deceased veteran but not paid prior to the veteran’s death. Each survivor claiming a share of the accrued benefits must VerDate Mar<15>2010 17:24 Sep 19, 2013 Jkt 229001 complete a separate VA Form 21–601; however if there is no living survivors who are entitled on the basis of relationship, accrued benefits may be payable as reimbursement to the person or persons who bore the expenses of the veteran’s last illness and burial expenses. 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 June 6, 2013, at page 34174. Affected Public: Individuals or households. Estimated Annual Burden: 2,300 hours. Estimated Average Burden per Respondent: 30 minutes. Frequency of Response: One time. Estimated Number of Respondents: 4,600. Dated: September 17, 2013. By direction of the Secretary. Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2013–22926 Filed 9–19–13; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–0065] Agency Information Collection (Request for Employment Information in Connection With Claim for Disability Benefits) 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. SUMMARY: PO 00000 Frm 00090 Fmt 4703 Sfmt 9990 Comments must be submitted on or before October 21, 2013. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–0065’’ in any correspondence. DATES: FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632– 7492 or email crystal.rennie@va.gov. Please refer to ‘‘OMB Control No. 2900– 0065.’’ SUPPLEMENTARY INFORMATION: Title: Request for Employment Information in Connection with Claim for Disability Benefits, VA Form 21–4192. OMB Control Number: 2900–0065. Type of Review: Extension of a currently approved collection. Abstract: VA Form 21–4192 is used to request employment information from a claimant’s employer. The collected data is used to determine the claimant’s eligibility for increased disability benefits based on unemployability. 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 June 6, 2013, at page 34175. Affected Public: Business or other forprofit. Estimated Annual Burden: 15,000 hours. Estimated Average Burden per Respondent: 15 minutes. Frequency of Response: One time. Estimated Number of Respondents: 60,000. Dated: September 17, 2013. By direction of the Secretary: Crystal Rennie, VA Clearance Officer, U.S. Department of Veterans Affairs. [FR Doc. 2013–22923 Filed 9–19–13; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\20SEN1.SGM 20SEN1

Agencies

[Federal Register Volume 78, Number 183 (Friday, September 20, 2013)]
[Notices]
[Page 57926]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-22923]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0065]


Agency Information Collection (Request for Employment Information 
in Connection With Claim for Disability Benefits) 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 its expected cost and 
burden; it includes the actual data collection instrument.

DATES: Comments must be submitted on or before October 21, 2013.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
oira_submission@omb.eop.gov. Please refer to ``OMB Control No. 2900-
0065'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0065.''

SUPPLEMENTARY INFORMATION:
    Title: Request for Employment Information in Connection with Claim 
for Disability Benefits, VA Form 21-4192.
    OMB Control Number: 2900-0065.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4192 is used to request employment information 
from a claimant's employer. The collected data is used to determine the 
claimant's eligibility for increased disability benefits based on 
unemployability.
    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 June 6, 2013, at page 34175.
    Affected Public: Business or other for-profit.
    Estimated Annual Burden: 15,000 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 60,000.

    Dated: September 17, 2013.

    By direction of the Secretary:
Crystal Rennie,
VA Clearance Officer, U.S. Department of Veterans Affairs.
[FR Doc. 2013-22923 Filed 9-19-13; 8:45 am]
BILLING CODE 8320-01-P