Agency Information Collection (Supplement to VA Forms 21P-534, 534a, & 534EZ) Activity Under OMB Review, 26639-26640 [2015-11120]
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asabaliauskas on DSK5VPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 89 / Friday, May 8, 2015 / Notices
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 June 8, 2015.
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. 2900–0016’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
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–
0016’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Claim for Disability Insurance
Benefits, Government Life Insurance,
VA Form 29–357.
OMB Control Number: 2900–0016.
Type of Review: Revision of a
currently approved collection.
Abstract: Policyholder’s complete VA
Form 29–357 to file a claim for
disability insurance on National Service
Life Insurance and United States
Government Life Insurance policies.
The information collected is used to
determine the policyholder’s eligibility
for disability insurance 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 at 79 FR
75863 on December 19, 2014.
Affected Public: Individuals or
households.
Estimated Annual Burden: 14,175
hours.
Estimated Average Burden per
Respondent: 1 hour and 45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
8,100.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2015–11127 Filed 5–7–15; 8:45 am]
BILLING CODE 8320–01–P
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16:38 May 07, 2015
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DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0132]
Agency Information Collection
(Application in Acquiring Specially
Adapted Housing or Special Home
Adaptation Grant) 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 June 8, 2015.
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. 2900–0132’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
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–
0132’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Application in Acquiring
Specially Adapted Housing or Special
Home Adaptation Grant, VA Form 26–
4555.
OMB Control Number: 2900–0132.
Type of Review: Revision of a
currently approved collection.
Abstract: Veterans with serviceconnected disability complete VA Form
26–4555 to apply for assistance in
acquiring specially adapted housing or
the special home adaptation grant. VA
will use the data collected to determine
the veteran’s eligibility.
An agency may not conduct or
sponsor, and a person is not required to
SUMMARY:
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26639
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 at 80 FR
76451 on December 22, 2014.
Affected Public: Individuals or
households.
Estimated Annual Burden: 1,000
hours.
Estimated Average Burden per
Respondent: 10 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
6,000.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2015–11125 Filed 5–7–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0004]
Agency Information Collection
(Supplement to VA Forms 21P–534,
534a, & 534EZ) 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 June 8, 2015.
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. 2900–0004’’ in any
correspondence.
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records
Service (005R1B), Department of
Veterans Affairs, 810 Vermont Avenue
SUMMARY:
E:\FR\FM\08MYN1.SGM
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26640
Federal Register / Vol. 80, No. 89 / Friday, May 8, 2015 / Notices
NW., Washington, DC 20420, (202) 632–
7492 or email crystal.rennie@va.gov.
Please refer to ‘‘OMB Control No. 2900–
0004.’’
DEPARTMENT OF VETERANS
AFFAIRS
SUPPLEMENTARY INFORMATION:
Agency Information Collection (Intent
To File a Claim for Compensation and/
or Pension, or Survivors Pension and/
or DIC) Activity Under OMB Review
Title: Supplement to VA Forms 21P–
534, 21P–534a, and 21P–534EZ.
OMB Control Number: 2900–0004.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21P–534, 534a,
and 534EZ is used to gather the
necessary information to determine the
eligibility of surviving spouses and
children for dependency and indemnity
compensation (DIC), death pension,
accrued benefits, and death
compensation. VA Form 21P–534a is an
abbreviated application for DIC that is
used only by surviving spouses and
children of veterans who died while on
active duty service. The VA Form 21P–
534EZ is used for the Fully Developed
Claims (FDC) program for pension
claims; claimants applying for Parents
DIC can use this form also.
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 at 79 FR
57659 on September 25, 2014.
Affected Public: Individuals or
households.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Estimate Information Collection Burden
a. Number of Respondents: 101,425:
VA Form 21P–534—25,000
VA Form 21P–534a—1,425
VA Form 21P–534EZ—75,000
b. Frequency of Response: one time.
c. Annual Burden is 62,856 hours:
VA Form 21P–534—31,250
VA Form 21P–534a—356
VA Form 21P–534EZ—31,250
d. Estimated completion times based
on review by staff personnel:
VA Form 21P–534—75 minutes
VA Form 21P–534a—15 minutes
VA Form 21P–534EZ—25 minutes
Frequency of Response: One-time.
Estimated Number of Respondents:
1,000.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2015–11120 Filed 5–7–15; 8:45 am]
BILLING CODE 8320–01–P
VerDate Sep<11>2014
16:38 May 07, 2015
Jkt 235001
[OMB Control No. 2900–0826]
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
In compliance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501–21), this notice
announces that the Veterans Benefits
Administration, 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 and it
includes the actual data collection
instrument.
DATES: Comments must be submitted on
or before June 8, 2015.
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. 2900–0826’’ in any
correspondence. During the comment
period, comments may be viewed online
through the FDMS.
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–
0826’’ in any correspondence.
SUPPLEMENTARY INFORMATION:
Title: Intent to File a Claim for
Compensation and/or Pension, or
Survivors Pension and/or DIC (VA Form
21–0966).
OMB Control Number: 2900–0826.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21–0966 will be
used by claimants and/or their
authorized representatives to indicate
intent to file a claim for compensation
and/or disability benefits to establish an
effective date for an award granted in
association with a complete claim filed
within 1 year of such form. VA will use
this form to identify claimants in its
SUMMARY:
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internal business operational systems to
record the date of receipt of this
document for the purposes of
establishing a date of claim for a
complete claim that is filed within 1
year. VA also uses the information to
furnish the claimant with the
appropriate VA form or application for
VA 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 at 80 FR
7530 on February 10, 2015.
Affected Public: Individuals or
Households.
Estimated Annual Burden: 181,140.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
724,561.
By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, U.S. Department of
Veterans Affairs.
[FR Doc. 2015–11122 Filed 5–7–15; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW]
Proposed Information Collection (PostEngagement) Activity: Comment
Request
Office of Small and
Disadvantaged Business Utilization
(OSDBU), the Department of Veterans
Affairs (VA).
ACTION: Notice.
AGENCY:
VA OSDBU is announcing an
opportunity for public comment on the
proposed collection of certain
information by the agency. Under the
Paperwork Reduction Act (PRA) of
1995, Federal agencies are required to
publish notice in the Federal Register
concerning each proposed new
collection of information and allow 60
days for public comment in response to
the notice. This notice solicits
comments on information needed to (1)
determine the return on investment
(ROI) provided by the National Veterans
Small Business Engagement (NVSBE) to
the Department of Veterans Affairs (VA),
other Federal agencies, and small and
large business attendees, (2) have a
mechanism that allows to share ROI and
satisfaction levels with potential
SUMMARY:
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Agencies
[Federal Register Volume 80, Number 89 (Friday, May 8, 2015)]
[Notices]
[Pages 26639-26640]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11120]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0004]
Agency Information Collection (Supplement to VA Forms 21P-534,
534a, & 534EZ) 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 June 8, 2015.
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-
0004'' in any correspondence.
FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue
[[Page 26640]]
NW., Washington, DC 20420, (202) 632-7492 or email
crystal.rennie@va.gov. Please refer to ``OMB Control No. 2900-0004.''
SUPPLEMENTARY INFORMATION:
Title: Supplement to VA Forms 21P-534, 21P-534a, and 21P-534EZ.
OMB Control Number: 2900-0004.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 21P-534, 534a, and 534EZ is used to gather the
necessary information to determine the eligibility of surviving spouses
and children for dependency and indemnity compensation (DIC), death
pension, accrued benefits, and death compensation. VA Form 21P-534a is
an abbreviated application for DIC that is used only by surviving
spouses and children of veterans who died while on active duty service.
The VA Form 21P-534EZ is used for the Fully Developed Claims (FDC)
program for pension claims; claimants applying for Parents DIC can use
this form also.
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 at 79 FR 57659 on September 25, 2014.
Affected Public: Individuals or households.
Estimate Information Collection Burden
a. Number of Respondents: 101,425:
VA Form 21P-534--25,000
VA Form 21P-534a--1,425
VA Form 21P-534EZ--75,000
b. Frequency of Response: one time.
c. Annual Burden is 62,856 hours:
VA Form 21P-534--31,250
VA Form 21P-534a--356
VA Form 21P-534EZ--31,250
d. Estimated completion times based on review by staff personnel:
VA Form 21P-534--75 minutes
VA Form 21P-534a--15 minutes
VA Form 21P-534EZ--25 minutes
Frequency of Response: One-time.
Estimated Number of Respondents: 1,000.
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-11120 Filed 5-7-15; 8:45 am]
BILLING CODE 8320-01-P