[Federal Register Volume 69, Number 140 (Thursday, July 22, 2004)]
[Notices]
[Page 43887]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-16703]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-New]


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. 3501-3521), 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 August 23, 2004.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management 
Service (005E3), 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-
New.'' 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-New'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Request for Nursing Home Information in Connection with 
Claim for Aid and Attendance, VA Form 21-0779.
    OMB Control Number: 2900-New.
    Type of Review: New collection.
    Abstract: VA Form 21-0779 is used to gather the necessary 
information to determine eligibility and proper payment for improved 
pension and/ or aid and attendance for veterans who are patients in 
nursing homes. Parents and surviving spouses entitled to service-
connected death benefits and spouses of living veterans receiving 
service connected compensation at 30 percent or higher are also 
entitled to aid and attendance based on status as nursing home 
patients.
    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 May 5, 2004, at page 25172.
    Affected Public: Business or other for-profit.
    Estimated Annual Burden: 8,333 hours.
    Estimated Average Burden Per Respondent: 10 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 50,000.

    Dated: July 13, 2004.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 04-16703 Filed 7-21-04; 8:45 am]
BILLING CODE 8320-01-P