[Federal Register Volume 60, Number 169 (Thursday, August 31, 1995)]
[Notices]
[Pages 45516-45517]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-21589]



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DEPARTMENT OF VETERANS AFFAIRS


Information Collections Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs, has submitted to the Office of Management and Budget 
(OMB) the following proposals for the collection of information under 
the provisions of the Paperwork Reduction Act (44 U.S.C. Chapter 35).

OMB Number: 2900-0013
Title and Form Number: Application for United States Flag for Burial 
Purposes, VA Form 2008.
Type of Information Collection: Reinstatement, with change, of a 
previously approved collection for which approval has expired.
Needs and Uses: The form is used by the public to obtain a burial flag 
for a deceased veteran.
Affected Public: Individuals or households--State, Local or Tribal 
Government.
Estimated Annual Burden: 125,000 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 500,000 respondents.

OMB Number: 2900-0059
Title and Form Number: Statement of Person Claiming to Have Stood in 
Relation of Parent, VA Form 21-524.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to secure information about the 
relationship of a claimant to the veteran in claims for Pension 
Dependency and Indemnity Compensation.
Affected Public: Individuals or households.
Estimated Annual Burden: 4,000 hours.
Estimated Average Burden Per Respondent: 2 hours.
Frequency of Response: On occasion.
Estimated Number of Respondents: 2,000 respondents.

OMB Number: 2900-0077
Title and Form Number: Court-Appointed Fiduciary's Account, VA Form 27-
4706c.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to provide the court appointed 
fiduciary of a VA beneficiary an acceptable format for providing 
accountings to the appointing court. The information is used to 
determine whether VA benefits have been properly managed.
Affected Public: Individuals or households--State, Local or Tribal 
Government
Estimated Annual Burden: 10,633 hours.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 5,616 respondents.

OMB Number: 2900-0107
Title and Form Number: Certificate as to Securities, VA Form 27-4709.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to verify the existence of savings 
bonds or other securities listed as assets on an accounting required by 
State or Federal law or regulation.
Affected Public: Individuals or households--Business or other for-
profit--Not-for-profit institutions--State, Local or Tribal Government
Estimated Annual Burden: 2,450 hours (2,100 annual reporting hours and 
350 annual recordkeeping hours).
Estimated Average Burden Per Respondent: 13 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 4,316 respondents.

OMB Number: 2900-0115
Title and Form Number: Supporting Statement Regarding Marriage, VA Form 
21-4171. 

[[Page 45517]]

Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to obtain information from individuals 
who know, as the result of personal observation, the relationship which 
existed between the parties, in those cases in which a common law 
marriage is claimed. The information is used to determine if the 
marital relationship is established and benefits are payable based on 
relationship.
Affected Public: Individuals or households.
Estimated Annual Burden: 800 hours.
Estimated Average Burden Per Respondent: 20 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 2,400 respondents.

OMB Number: 2900-0121
Title and Form Number: Obtaining Supplemental Information From Hospital 
or Doctor, VA Form Letter 29-551B.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form letter is used to request medical information 
from the insured's doctor or hospital in connection with disability 
insurance benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 61 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 244 respondents.

OMB Number: 2900-0255
Title and Form Number: Application for Dependency and Indemnity 
Compensation or Death Pension (Including Accrued Benefits and Death 
Compensation Where Applicable) From the Department of Veterans Affairs, 
VA Form 21-4182.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to gather the necessary information 
from the survivor to determine initial eligibility for accrued, 
dependency and indemnity compensation, death compensation and/or death 
pension benefits when an applicant applies for Social Security 
benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 3,500 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 14,000 respondents.

OMB Number: 2900-0404
Title and Form Number: Veteran's Application for Increased Compensation 
Based on Unemployability, VA Form 21-8940.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used by veterans when making a claim for 
increased VA disability compensation based on unemployability.
Affected Public: Individuals or households.
Estimated Annual Burden: 18,000 hours.
Estimated Average Burden Per Respondent: 45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 24,000 respondents.

OMB Number: 2900-0138
Title and Form Number: Request for Details of Expenses, VA Form 21-
8049.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to obtain the necessary information to 
determine the amount of any deductible expenses paid by the claimant 
and/or commercial life insurance received to calculate the appropriate 
rate of pension benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 5,700 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 22,800 respondents.

ADDRESSES: Copies of these submissions may be obtained from Trish 
Fineran, Veterans Benefits Administration (20M30), Department of 
Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 
273-6886.
    Comments and recommendations concerning the submissions should be 
directed to VA's OMB Desk Officer, Allison Eydt, OMB Human Resources 
and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503 (202) 395-4650. Do not send requests for benefits 
to this address.

DATES: Comments on the information collections should be directed to 
the OMB Desk Officer on or before October 2, 1995.

FOR FURTHER INFORMATION CONTACT: Ron Taylor, VA Clearance Officer 
(045A4), (202) 565-4412.

    Dated: August 21, 1995.

    By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service
[FR Doc. 95-21589 Filed 8-30-95; 8:45 am]
BILLING CODE 8320-01-P