[Federal Register Volume 67, Number 10 (Tuesday, January 15, 2002)]
[Notices]
[Pages 2017-2018]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-996]


-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0255]


Agency Information Collection Activities Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

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 February 14, 2002.

[[Page 2018]]


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. 2900-0255.''

SUPPLEMENTARY INFORMATION:
    Title: Application for Dependency and Indemnity Compensation or 
Death Pension (Including Accrued Benefits and Death Compensation Where 
Applicable) From the Department of Veterans Affairs (Supplement to 
Social Security Administration Forms SSA-4, 5, 7 and 10), VA Form 21-
4182.
    OMB Control Number: 2900-0255.
    Type of Review: Extension of a currently approved collection.
    Abstract: The form is used to determine the applicant's eligibility 
for accrued, dependency and indemnity compensation, death compensation 
and/or death pension benefits when applying for Social Security 
benefits.
    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 July 5, 2001, at pages 35515-35516.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 3,500 hours.
    Estimated Average Burden Per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 14,000.
    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. 
2900-0255'' in any correspondence.

    Dated: December 20, 2001.

    By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 02-996 Filed 1-15-02; 8:45 am]
BILLING CODE 8320-01-P