[Federal Register Volume 73, Number 167 (Wednesday, August 27, 2008)]
[Notices]
[Page 50675]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-19905]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0104]


Agency Information Collection (Report of Accidental Injury in 
Support of Claim for Compensation or Pension) 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, 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 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 September 26, 2008.

ADDRESSES: Submit written comments on the collection of information 
through http://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. 2900-0104'' 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-
0104.''

SUPPLEMENTARY INFORMATION:
    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.
    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 3, 2008, at pages 31738--31739.
    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: August 21, 2008.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Records Management Service.
[FR Doc. E8-19905 Filed 8-26-08; 8:45 am]
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