[Federal Register Volume 70, Number 115 (Thursday, June 16, 2005)]
[Notices]
[Page 35160]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-11834]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0075]


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 18, 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. 2900-0075.''
    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. 
2900-0075'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Statement in Support of Claim, VA Form 21-4138.
    OMB Control Number: 2900-0075.
    Type of Review: Extension of a currently approved collection.
    Abstract: Statements submitted by or on behalf of a claimant must 
contain a certification by the respondent that the information provided 
to VA is true and correct in support of benefits claims processed by 
VA. VA Form 21-4138 facilitates claims processing by providing a 
uniform format for the certification statement.
    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 19, 2005, at page 3105.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 188,000 hours.
    Estimated Average Burden Per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 752,000.

    Dated: June 6, 2005.

    By direction of the Secretary.
Loise Russell,
Director, Records Management Service.
[FR Doc. 05-11834 Filed 6-15-05; 8:45 am]
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