[Federal Register Volume 69, Number 167 (Monday, August 30, 2004)]
[Notices]
[Pages 52964-52965]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-19690]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0002]


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

[[Page 52965]]

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 29, 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-
0002.'' 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. 
2900-0002'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Income-Net Worth and Employment Statement (In support of 
Claim for Total Disability Benefits), VA Form 21-527.
    OMB Control Number: 2900-0002.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-527 is used by claimants who have previously 
filed a claim for compensation and/or pension and wish to file a new 
claim for disability pension or reopen a previously denied claim for 
disability pension.
    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 June 8, 2004, at page 32096.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 104,440 hours.
    Estimated Average Burden Per Respondent: 60 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 140,440.

    By direction of the Secretary.

    Dated: August 17, 2004.
Loise Russell,
Director, Records Management Service.
[FR Doc. 04-19690 Filed 8-27-04; 8:45 am]
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