Agency Information Collection (Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC) Activity Under OMB Review, 26640 [2015-11122]

Download as PDF 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: PO 00000 Frm 00119 Fmt 4703 Sfmt 4703 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: E:\FR\FM\08MYN1.SGM 08MYN1

Agencies

[Federal Register Volume 80, Number 89 (Friday, May 8, 2015)]
[Notices]
[Page 26640]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11122]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0826]


Agency Information Collection (Intent To File a Claim for 
Compensation and/or Pension, or Survivors Pension and/or DIC) 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. 3501-21), 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 
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
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