[Federal Register Volume 65, Number 70 (Tuesday, April 11, 2000)]
[Notices]
[Page 19435]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-8977]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0104]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995 
(44 U.S.C., 3501 et seq.), this notice announces that the Veterans 
Benefits Administration (VBA), Department of Veterans Affairs, has 
submitted the collection of information abstracted below to the Office 
of Management and Budget (OMB) for review and comment. The PRA 
submission describes the nature of the information collection and its 
expected cost and burden; it includes the actual data collection 
instrument.

DATES: Comments must be submitted on or before May 11, 2000.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT: Denise 
McLamb, Information Management Service (045A4), Department of Veterans 
Affairs, 810 Vermont Avenue, NW, Washington, DC 20420, (202) 273-8030 
or FAX (202) 273-5981. Please refer to ``OMB Control No. 2900-0104.''

SUPPLEMENTARY INFORMATION:
    Title: Report of Accidental Injury in Support of Claim for 
Compensation or Pension, VA Form 21-4176.
    OMB Control Number: 2900-0104.
    Type of Review: Extension of a currently approved collection.
    Abstract: The form is used in support of claims for disability 
benefits based on a disability that is the result of an accident. The 
information given by the veteran is used as a source to gather specific 
data regarding the accident and to afford the veteran an opportunity to 
provide information from his or her own knowledge regarding the 
accident.
    An agency may not conduct or sponsor, and a person is not required 
to respond to a collection of information unless it displays a 
currently valid OMB control number. The Federal Register Notice with a 
60-day comment period soliciting comments on this collection of 
information was published on November 29, 1999, at page 66693.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 2,200 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 4,400.
    Send comments and recommendations concerning any aspect of the 
information collection 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. Please refer to ``OMB 
Control No. 2900-0104'' in any correspondence.

    Dated: March 2, 2000.

    By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 00-8977 Filed 4-10-00; 8:45 am]
BILLING CODE 8320-01-U