[Federal Register Volume 60, Number 169 (Thursday, August 31, 1995)]
[Notices]
[Pages 45523-45524]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-21598]



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[[Page 45524]]



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: 2900-0061
Title and Form Number: Request for Supplies, VA Form 1905m.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used to inform VA of supplies the veteran 
needs to continue his or her vocational rehabilitation program and to 
certify that the supplies are required, not merely desired, by the 
veteran.
Affected Public: Individuals or households--Business or other for-
profit--Not-for-profit institutions.
Estimated Annual Burden: 1,000 hours.
Estimated Average Burden Per Respondent: 60 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 1,000 respondents.

OMB Number: 2900-0079
Titles and Form Numbers: Employment Questionnaire, VA Forms 21-4140, 
21-4140-1, and 21-4140a.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The forms are used to gather continuing unemployability 
information to determine continued eligibility for 100 percent 
compensation based on individual unemployability.
Affected Public: Individuals or households.
Estimated Annual Burden: 3,790 hours.
Estimated Average Burden Per Respondent: 5 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 45,480 respondents.

OMB Number: 2900-0129
Title and Form Number: Supplemental Disability Report, VA Form Letter 
29-30a.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form letter is used by the insured to supply 
information required to process a claim for disability benefits.
Affected Public: Individuals or households.
Estimated Annual Burden: 548 hours.
Estimated Average Burden Per Respondent: 5 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 6,570 respondents.

OMB Number: 2900-0266
Title and Form Number: Application for Reimbursement of Headstone or 
Marker Expenses, VA Form 21-8834.
Type of Information Collection: Extension of a currently approved 
collection.
Needs and Uses: The form is used by the person who paid for a deceased 
veteran's or service person's headstone, marker or additional 
engraving, to claim reimbursement in lieu of a Government furnished 
headstone.
Affected Public: Individuals or households.
Estimated Annual Burden: 167 hours.
Estimated Average Burden Per Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 1,000 respondents.

OMB Number: 2900-0518
Title and Form Numbers: Income Verification, VA Forms 21-0161 and 
0161a.
Needs and Uses: The forms are used to verify a beneficiary's income-
dependent benefits in connection with the administration of veterans 
benefits. The information is used to accurately adjust pension benefits 
payments and avoid overpayments.
Affected Public: Business or other for-profit--Individuals or 
households--Not-for-profit institutions--Farms--State, Local or Tribal 
Government.
Estimated Annual Burden: 114,000 hours.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 228,000 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. 95-21598 Filed 8-30-95; 8:45 am]
BILLING CODE 8320-01-M