[Federal Register Volume 74, Number 244 (Tuesday, December 22, 2009)]
[Notices]
[Page 68100]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-30367]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0736]


Agency Information Collection (Authorization To Disclose Personal 
Beneficiary/Claimant Information to a Third Party) Activity 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.

DATE: Comments must be submitted on or before January 21, 2010.

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. 2900-0736'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Denise McLamb, Enterprise Records 
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-
0736.''

SUPPLEMENTARY INFORMATION:
    Title: Authorization to Disclose Personal Beneficiary/Claimant 
Information to a Third Party, VA Form 21-0845.
    OMB Control Number: 2900-0736.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-0845 is completed by severely injured service 
members or beneficiary who are unable to communicate with VA due to 
their injuries, to authorize release of certain claims information to 
an agent or person(s) whom they designate. The form will aid family 
member(s) in making well-informed decisions regarding a seriously ill 
or injured claimant or beneficiary and also allow the designee to 
receive updated information on certain decisions made regarding claims 
and payments.
    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 14, 2009, at pages 52842-52843.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,667 hours.
    Estimated Average Burden Per Respondent: 5 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 20,000.

    Dated: December 17, 2009.

    By direction of the Secretary:
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. E9-30367 Filed 12-21-09; 8:45 am]
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