[Federal Register Volume 59, Number 125 (Thursday, June 30, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-15817]


[[Page Unknown]]

[Federal Register: June 30, 1994]


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DEPARTMENT OF VETERANS AFFAIRS
 

Information Collection Under OMB Review: Marital Status 
Questionnaire, VA Form 21-0537

agency: Department of Veterans Affairs.

action: Notice.

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    The Department of Veterans Affairs has submitted to OMB the 
following proposal for the collection of information under the 
provisions of the Paperwork Reduction Act (44 U.S.C. Chapter 35). This 
document lists the following information: (1) the title of the 
information collection, and the Department form number(s), if 
applicable; (2) a description of the need and its use; (3) who will be 
required or asked to respond; (4) an estimate of the total annual 
reporting hours, and recordkeeping burden, if applicable; (5) the 
estimated average burden hours per respondent; (6) the frequency of 
response; and (7) an estimated number of respondents.

addresses: Copies of the proposed information collection and supporting 
documents may be obtained from Janet G. Byers, Veterans Benefits 
Administration (20A5A), Department of Veterans Affairs, 810 Vermont 
Avenue, NW, Washington, DC 20420 (202) 273-7011.
    Comments and questions about the items on the list should be 
directed to VA's OMB Desk Officer, Joseph Lackey, NEOB, room 3002, 
Washington, DC 20503, (202) 395-7316. Do not send requests for benefits 
to this address.

dates: Comments on the information collection should be directed to the 
OMB Desk Officer on or before August 1, 1994.

    Dated: June 14, 1994.

    By direction of the Secretary:
Donald L. Neilson,
Director, Records Management Service.

Extension

    1. Marital Status Questionnaire, VA Form 21-0537.
    2. The form is used to request certification of a continued 
unremarried status by surviving spouses receiving Dependency and 
Indemnity Compensation. The information is used by VA to determine 
continued eligibility to benefits.
    3. Individuals or households.
    4. 2,875 hours.
    5. 5 minutes.
    6. On occasion.
    7. 34,500 respondents.

[FR Doc. 94-15817 Filed 6-29-94; 8:45 am]
BILLING CODE 8320-01-M