[Federal Register Volume 66, Number 149 (Thursday, August 2, 2001)]
[Notices]
[Page 40320]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-19294]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0065]


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 September 4, 2001.

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 or e-mail [email protected]. Please refer 
to ``OMB Control No. 2900-0065.''

SUPPLEMENTARY INFORMATION:
    Title: Request for Employment Information in Connection With Claim 
for Disability Benefits, VA Form 21-4192.
    OMB Control Number: 2900-0065.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4192 is used to request employment information 
of a claimant applying for disability benefits. The information is 
necessary to determine the date of termination of the claimant's 
employment.
    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 April 24, 2001 at page 20720.
    Estimated Annual Burden: 15,000 hours.
    Estimated Average Burden Per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 60,000.
    Send comments and recommendations concerning any aspect of the 
information collection to VA's Desk Officer, OMB Human Resources and 
Housing Branch, New Executive Office Building, Room 10235, Washington, 
DC 20503 (202) 395-7316. Please refer to ``OMB Control No. 2900-0065'' 
in any correspondence.

    Dated: July 12, 2001.

    By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 01-19294 Filed 8-1-01; 8:45 am]
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