[Federal Register Volume 60, Number 169 (Thursday, August 31, 1995)]
[Notices]
[Pages 45522-45523]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-21596]



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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: 2900-0036
Title and Form Number: Statement of Disappearance, VA Form 21-1775.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to gather the necessary information to 
determine if a decision of presumptive death can be made for benefit 
payment purposes. The information is used to authorize death benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 5,500 hours.
Estimated Average Burden Per Respondent: 2 hours and 45 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 2,000 respondents.

OMB Number: 2900-0038
Title and Form Number: Information from Remarried Widow/er, VA Form 21-
4102.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to gather the necessary information to 
determine if a child of a surviving remarried spouse of a deceased 
veteran meets the requirements for pension. The information is used to 
determine entitlement this benefit.
Affected Public: Individuals or households.
Estimated Annual Burden: 3,000 hours.
Estimated Average Burden Per Respondent: 20 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 9,000 respondents.

OMB Number: 2900-0049
Title and Form Number: Request for Approval of School Attendance, VA 
Forms 21-674 and 21-674c.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The forms are used to gather the necessary information 
to determine continued entitlement to benefits for a child between the 
ages of 18 and 23 who is attending school.
Affected Public: Individuals or households.
Estimated Annual Burden: 34,500 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 138,000 respondents.

OMB Number: 2900-0052
Title and Form Number: Report of Medical Examination for Disability 
Evaluation, VA Form 21-2545.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to gather the necessary information 
from a claimant prior to undergoing a VA examination and to record the 
findings of the examining physician.
Affected Public: Individuals or households.
Estimated Annual Burden: 45,000 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 339,000 respondents.

OMB Number: 2900-0064
Title and Form Number: Application for Amounts Due Estate of Person 
Entitled to Benefits, VA Form 21-609.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to gather the necessary information to 
determine the individual(s) who may be entitled to accrued benefits of 
deceased beneficiaries. The information is used to determine the proper 
payee for certain accrued benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 375 hours.

[[Page 45523]]

Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 750 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 24, 1995.

    By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 95-21596 Filed 8-30-95; 8:45 am]
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