[Federal Register Volume 70, Number 108 (Tuesday, June 7, 2005)]
[Notices]
[Page 33258]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-2902]


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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 July 7, 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-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: Statement of Radiation Exposure during Military Service, VA 
Form 21-0783.
    OMB Control Number: 2900-New.
    Type of Review: New collection.
    Abstract: VA will use the information collected on VA Form 21-0783 
to assist claimants in obtaining supporting documentation to 
substantiate their claim of radiation exposure during military service 
and, when applicable, a radiation dose assessment. The information 
collected will be used to establish claimants' eligibility for 
disability benefit.
    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 March 2, 2005, at pages 10168-10169.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,680 hours.
    Estimated Average Burden Per Respondent: 60 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 1,680.

    Dated: May 26, 2005.

    By direction of the Secretary:
Loise Russell,
Director, Records Management Service.
[FR Doc. E5-2902 Filed 6-6-05; 8:45 am]
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