[Federal Register Volume 70, Number 108 (Tuesday, June 7, 2005)]
[Notices]
[Page 33259]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-2904]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0067]


Proposed Information Collection Activity: Proposed Collection; 
Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information by the agency. Under 
the Paperwork Reduction Act (PRA) of 1995, Federal agencies are 
required to publish notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
of a currently approved collection for which approval has expired and 
allow 60 days for public comment in response to the notice. This notice 
solicits comments on the information needed to determine a claimant's 
eligibility for automobile allowance and adaptive equipment.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 8, 2005.

ADDRESSES: Submit written comments on the collection of information to 
Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 
20420 or e-mail: [email protected]. Please refer to ``OMB 
Control No. 2900-0067'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 273-7079 
or FAX (202) 275-5947.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Public Law 104-13; 44 
U.S.C. 3501--3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VBA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VBA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VBA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Title: Application for Automobile or other Conveyance and Adaptive 
Equipment (under 38 U.S.C. 3901-3904), VA Form 21-4502.
    OMB Control Number: 2900-0067.
    Type of Review: Extension of a currently approved collection.
    Abstract: Veterans and servicepersons complete VA Form 21-4502 to 
apply for automobile or other conveyance allowance, and reimbursement 
for the cost and installation of adaptive equipment. The claimants must 
possess one of the following disabilities that resulted from injury or 
a disease that was incurred or aggravated during active military 
service: (1) Loss or permanent loss of use of one or both feet, or 
hands; (2) permanent impairment of vision in both eyes with a central 
visual acuity of 20/200 or less in the better eye with corrective 
glasses, or central visual acuity of more than 20/200 if there is a 
field defect in which the peripheral field had contracted to such an 
extent that the widest diameter of visual field has an angular distance 
no greater than 20 degrees in the better eye. VA uses the information 
to determine the claimant's eligibility for such benefits.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 388.
    Estimated Average Burden Per Respondent: 15 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 1,552.

    Dated: May 26, 2005.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. E5-2904 Filed 6-6-05; 8:45 am]
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