[Federal Register Volume 71, Number 53 (Monday, March 20, 2006)]
[Notices]
[Page 14053]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-4003]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0104]


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. 3501-21), 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 April 19, 2006.

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) 565-6950 or e-mail: [email protected]. Please refer 
to ``OMB Control No. 2900-0104.''
    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. 
2900-0104'' in any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Report of Accidental Injury in Support of Claim for 
Compensation or Pension, VA Form 21-4176, Parts A & B.
    OMB Control Number: 2900-0104.
    Type of Review: Extension of a currently approved collection.
    Abstract: The data collected on VA Form 21-4176 is used to 
determine a veteran's eligibility for disability benefits based on an 
accidental injury that he or she incurred while in the line of duty. VA 
uses the information collected to determine whether the injury was the 
result of a willful misconduct by the veteran.
    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 October 25, 2005 at page 61695.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 2,204 hours.
    Estimated Average Burden Per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 4,408.

    Dated: March 8, 2006.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
 [FR Doc. E6-4003 Filed 3-17-06; 8:45 am]
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