[Federal Register Volume 60, Number 169 (Thursday, August 31, 1995)]
[Notices]
[Pages 45520-45521]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-21594]



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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: 2900-0108
Title and Form Number: Report of Income from Property or Business, VA 
Form 21-4185. 

[[Page 45521]]

Type of Information Collection: Reinstatement, without change, of a 
previously approved collection for which approval has expired.
Needs and Uses: The form is used by veterans and survivors who are 
receiving income-based benefits to report business and/or property 
income and expenses. The information is used to determine eligibility 
for benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 29,750 hours.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 59,500 respondents.

OMB Number: 2900-0116
Title and Form Number: Notice to Department of Veterans Affairs of 
Veteran or Beneficiary Incarcerated in Penal Institution, VA Form 21-
4193.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to secure the necessary information 
from penal institution incarcerated veterans or beneficiaries. The 
information is used to determine if VA compensation or pension benefits 
should be terminated or reduced.
Affected Public: State, Local or Tribal Governments.
Estimated Annual Burden: 416 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 416 respondents.

OMB Number: 2900-0119
Title and Form Number: Report of Treatment in Hospital, VA Form letter 
29-551.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form letter is used to collect information from the 
insured's hospital to determine his/her eligibility for a claim for 
disability insurance benefits.
Affected Public: Business or other for-profit--Individuals or 
households.
Estimated Annual Burden: 4,055 hours.
Estimated Average Burden Per Respondent: 12 minutes.
Frequency of Response: On time.
Estimated Number of Respondents: 20,277 respondents.

OMB Number: 2900-0148
Title and Form Number: Notice of Past Due Payment, VA Form 29-389e.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used by veterans who have applied for 
National Service Life Insurance as a temporary measure to restore 
continuous protection until a final decision is made on his/her 
application for insurance. The information is used to determine the 
insured's eligibility for continued protection.
Affected Public: Individuals or households.
Estimated Annual Burden: 484 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 1,936 respondents.

OMB Number: 2900-0161
Title and Form Number: Medical Expense Report, VA Form 21-8416.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to collect information on the medical 
expenses paid in connection with claims for pension or other income-
based benefits. The information is used in determining the proper rate 
of VA benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 19,280 hours.
Estimated Average Burden Per Respondent: 12 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 96,400 respondents.

ADDRESSES: Copies of these submissions may be obtained from Trish 
Fineran, Veteran 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 24, 1995.

    By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 95-21594 Filed 8-30-95; 8:45 am]
BILLING CODE 8320-01-M