[Federal Register Volume 66, Number 210 (Tuesday, October 30, 2001)]
[Notices]
[Page 54804]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-27302]


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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.

DATES: Comments must be submitted on or before November 29, 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, 
FAX (202) 273-5981 or e-mail: [email protected]. 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 to 
determine 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 August 14, 2001, at pages 42707-42708.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 3,000 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 6,000.
    Send comments and recommendations concerning any aspect of the 
information collection to VA's OMB 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. 
2900-0114'' in any correspondence.

    Dated: October 16, 2001.
By direction of the Secretary:
Barbara H. Epps,
Management Analyst, Information Management Service.
[FR Doc. 01-27302 Filed 10-29-01; 8:45 am]
BILLING CODE 2320-01-M