[Federal Register Volume 60, Number 42 (Friday, March 3, 1995)]
[Notices]
[Page 12030]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-5267]



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DEPARTMENT OF VETERANS AFFAIRS

Information Collection Under OMB Review: Declaration of Status of 
Dependents, VA Form 21-686c

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 Trish Fineran, Veterans Benefits 
Administration (20M30), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420, (202) 273-6886.

FOR FURTHER INFORMATION CONTACT: 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 April 3, 1995.

    Dated: February 21, 1995.

    By direction of the Secretary.
Ronald C. Taylor,
Management Analyst.

Extension

    1. Declaration of Status of Dependents, VA Form 21-686c.
    2. The form is used to confirm marital status and dependency of 
children.
    3. Individuals or households.
    4. 56,500 hours.
    5. 15 minutes.
    6. On occasion.
    7. 226,000 respondents.

[FR Doc. 95-5267 Filed 3-2-95; 8:45 am]
BILLING CODE 8320-01-M