[Federal Register Volume 70, Number 228 (Tuesday, November 29, 2005)]
[Notices]
[Pages 71607-71608]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-6598]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0067]


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 December 29, 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) 565-8374, 
FAX (202) 565-6590 or e-mail: [email protected]. Please refer 
to ``OMB Control No. 2900-0067.''
    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. 
2900-0067'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    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.
    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 June 7, 2005, at page 33259.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 388 hours.
    Estimated Average Burden Per Respondent: 15 minutes.

[[Page 71608]]

    Frequency of Response: One-time.
    Estimated Number of Respondents: 1,552.

    Dated: November 15, 2005.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E5-6598 Filed 11-28-05; 8:45 am]
BILLING CODE 8320-01-P