[Federal Register Volume 65, Number 108 (Monday, June 5, 2000)]
[Notices]
[Page 35702]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-13927]



[[Page 35702]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0114]


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.

DATE: Comments must be submitted on or before July 5, 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. 2900-0114.''

SUPPLEMENTARY INFORMATION:   
    Title: Statement of Marital Relationship, VA Form 21-4170.
    OMB Control Number: 2900-0114.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4170 is used to develop the evidence necessary 
to make a determination as to whether a claimed common law marriage can 
be recognized by VA. Without this information, VA would have no means 
of determining the proper marital status of the veteran.
    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 January 25, 2000 at page 4017.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 3,000 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 6,000.
    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. 2900-0114'' in any correspondence.

    Dated: April 27, 2000.

    By direction of the Secretary.
Sandra McIntyre,
Management Analyst, Information Management Service.
[FR Doc. 00-13927 Filed 6-2-00; 8:45 am]
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