[Federal Register Volume 62, Number 22 (Monday, February 3, 1997)]
[Notices]
[Page 5071]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2513]


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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: 2900-0105.
    Title and Form Number: Statement of Witness to Accident, VA Form 
Letter 21-806.
    Type of Review: Extension of a currently approved collection.
    Need and Uses: The form letter is used in support of claims for 
disability benefits based on disability which is the result of an 
accident. The information given by a witness to the accident is used as 
a source to gather specific data regarding the accident and to obtain 
from the witness opinions as well as facts based on his or her own 
knowledge and beliefs regarding the accident.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 4,400 hours.
    Estimated Total Average Burden Per Respondent: 20 minutes.
    Frequency of Response: On occasion.
    Estimated Total Number of Respondents: 13,200.
    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. 97-2513 Filed 1-31-97; 8:45 am]
BILLING CODE 8320-01-P