[Federal Register Volume 69, Number 114 (Tuesday, June 15, 2004)]
[Notices]
[Page 33466]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-13440]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0095]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information by the agency. Under 
the Paperwork Reduction Act (PRA) of 1995, Federal agencies are 
required to publish notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
of a currently approved collection and allow 60 days for public comment 
in response to the notice. This notice solicits comments on information 
needed to determine net income derived from farming.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 16, 2004.

ADDRESSES: Submit written comments on the collection of information to 
Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 
20420 or e-mail [email protected]. Please refer to ``OMB Control No. 
2900-0095'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 273-7079 
or FAX (202) 275-5947.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 104-13; 44 
U.S.C. 3501-3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VBA 
invites comments on: (1) whether the proposed collection of information 
is necessary for the proper performance of VBA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VBA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Title: Pension Claim Questionnaire for Farm Income, VA Form 21-
4165.
    OMB Control Number: 2900-0095.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4165 is used to gather information which is 
necessary to determine a claimant's countable annual income and 
available assets due to farm operations. Eligibility to income-based 
benefits cannot be determined without complete information about a 
claimant's income. Farm income is not necessarily received on a weekly 
or monthly basis, and farm operating expenses must be considered in 
determining income and total assets. If eligibility exists, the 
information will be used to determine the proper rate of benefits.
    Affected Public: Individuals or households and Farms.
    Estimated Annual Burden: 1,038 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 2,075.

    Dated: June 2, 2004.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 04-13440 Filed 6-14-04; 8:45 am]
BILLING CODE 8320-01-P