[Federal Register Volume 73, Number 35 (Thursday, February 21, 2008)]
[Notices]
[Pages 9619-9620]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-3245]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0114]


Agency Information Collection Activities (Statement of Marital 
Relationship) 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, will submit the 
collection of information abstracted below to the Office of Management 
and Budget (OMB) for review and comment. The PRA submission describes 
the

[[Page 9620]]

nature of the information collection and its expected cost and burden; 
it includes the actual data collection instrument.

DATE: Comments must be submitted on or before March 24, 2008.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov or 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. 2900-0114'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Records Management 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue, 
NW., Washington, DC 20420, (202) 461-7485, FAX (202) 273-0443 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-
0114.''

SUPPLEMENTARY INFORMATION:
    Title: Statement of Marital Relationship, VA Form 21-4170.
    OMB Control Number: 2900-0114.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-4170 is completed by individuals claiming to 
be common law widows/widowers of deceased veterans and by veterans and 
their claimed common law spouses to establish marital status. VA uses 
the information collected to determine whether a common law marriage 
was valid under the law of the place where the parties resided at the 
time of the marriage or under the law of the place where the parties 
resided when the right to benefits accrued.
    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 1, 2007, at page 55861.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 2,708 hours.
    Estimated Average Burden per Respondent: 25 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 6,500.

    Dated: February 12, 2008.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E8-3245 Filed 2-20-08; 8:45 am]
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