[Federal Register Volume 70, Number 58 (Monday, March 28, 2005)]
[Notices]
[Page 15691]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-1330]


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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 April 27, 2005.

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:
    Titles:
    a. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD), VA Form 21-0781.
    b. Statement in Support of Claim for Service Connection for Post-
Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, VA Form 
21-0781a.
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: Veterans seeking compensation for post-traumatic stress 
disorder and need VA's assistance in obtaining evidence from military 
records and other sources to substantiate their claims of in-service 
stressors must complete VA Forms 21-0781 and 21-0791a. If the veteran 
did not serve in combat or was not a prisoner of war and is claiming 
compensation for post-traumatic stress disorder due to in-service 
stressors, he or she must provide credible supporting evidence that the 
claimed in-service stressor occurred.
    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 December 1, 2004 at pages 69990-6991.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 17,780 hours.
    Estimated Average Burden Per Respondent: 70 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 15,240.

    Dated: March 17, 2005.

    By direction of the Secretary.
Martin Hill,
Management Analyst, Records Management Service.
[FR Doc. E5-1330 Filed 3-25-05; 8:45 am]
BILLING CODE 8320-01-P