[Federal Register Volume 73, Number 107 (Tuesday, June 3, 2008)]
[Notices]
[Pages 31738-31739]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-12346]


-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0104]


Proposed Information Collection (Report of Accidental Injury in 
Support of Claim for Compensation or Pension) Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

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 and allow 60 days for public comment 
in response to this notice. This notice solicits comments on the 
information needed to support a claim for disability benefits based on 
an accidental injury.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before August 4, 2008.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits 
Administration (20M35), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 or e-mail to [email protected]. 
Please refer to ``OMB Control No. 2900-0104'' in any correspondence. 
During the comment period, comments may be viewed online through the 
Federal Docket Management System (FDMS) at http://www.Regulations.gov.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461-9769 
or FAX (202) 275-5947.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 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

[[Page 31739]]

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: Report of Accidental Injury in Support of Claim for 
Compensation or Pension, VA Form 21-4176.
    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 and 
by individuals who witness the accidental injury. VA uses the 
information collected to determine whether the injury was the result of 
a willful misconduct by the veteran.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 2,204.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 4,408.

    Dated: May 23, 2008.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E8-12346 Filed 6-2-08; 8:45 am]
BILLING CODE 8320-01-P