[Federal Register Volume 69, Number 218 (Friday, November 12, 2004)]
[Notices]
[Page 65502]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-25146]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0089]


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. 3501-21), 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 and includes the actual data collection instrument.

DATES: Comments must be submitted on or before December 13, 2004.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management 
Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., or e-mail [email protected]. Please refer to ``OMB Control 
No. 2900-0089.'' 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. 2900-0089'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Statement of Dependency of Parent(s), VA Form 21-509.
    OMB Control Number: 2900-0089.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-509 is used to gather income and dependency 
information from claimants who are seeking payment of benefits as or 
for a dependent parent. The form is completed by veterans seeking to 
establish his/her parent(s) as dependents as well as by a surviving 
parent seeking death compensation.
    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 15, 2004 at page 33467.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 4,000 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 8,000.

    Dated: October 26, 2004.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 04-25146 Filed 11-10-04; 8:45 am]
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