[Federal Register Volume 70, Number 90 (Wednesday, May 11, 2005)]
[Notices]
[Page 24864]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-2303]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0161]


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 June 10, 2005.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION 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. 2900-0161.''
    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. 
2900-0161'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Medical Expense Report, VA Form 21-8416.
    OMB Control Number: 2900-0161.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-8416 is completed by beneficiaries in receipt 
of or claiming income-based benefits to report medical expenses paid in 
connection with claims for pension and other income-based benefits. 
Unreimbursed medical expenses paid by a beneficiary or claimant may be 
excluded from their countable income. VA uses the data collected to 
determine the claimant's entitlement to improved pension and the 
appropriate rate payable.
    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 January 11, 2005, at page 1934.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 48,200 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 96,400.

    Dated: April 29, 2005.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. E5-2303 Filed 5-10-05; 8:45 am]
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