[Federal Register Volume 62, Number 22 (Monday, February 3, 1997)]
[Notices]
[Pages 5070-5071]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2512]


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DEPARTMENT OF VETERANS AFFAIRS

Agency Information Collection: Submission for OMB Review; Comment 
Request

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 proposal for the collection of information under 
the provisions of the Paperwork Reduction Act (44 U.S.C. Chapter 35).
    OMB Control Number: 2900-0114.
    Title and Form Number: Statement of Marital Relationship, VA Form 
21-4170.
    Type of Review: Extension of a currently approved collection.
    Need and Uses: The form is used to develop the evidence necessary 
to make

[[Page 5071]]

a determination as to whether a claimed common law marriage can be 
recognized by the VA.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 3,000 hours.
    Estimated Total Average Burden Per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Total Number of Respondents: 6,000.

ADDRESSES: A copy of this submission may be obtained from Ron Taylor, 
VA Clearance Officer (045A4), Department of Veterans Affairs, 810 
Vermont Avenue, NW., Washington, DC 20420, (202) 273-8015.
    Comments and recommendations concerning this submission 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 collection should be directed to the 
OMB Desk Officer by March 5, 1997.

FOR FURTHER INFORMATION CONTACT: Ron Taylor, VA Clearance Officer 
(045A4), (202) 273-8015.

    Dated: January 13, 1997.

    By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 97-2512 Filed 1-31-97; 8:45 am]
BILLING CODE 8320-01-P