[Federal Register Volume 75, Number 239 (Tuesday, December 14, 2010)]
[Pages 77957-77958]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-31274]



[OMB Control No. 2900-0095]

Agency Information Collection (Pension Claim Questionnaire for 
Farm Income) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 

ACTION: Notice.


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 January 13, 2011.

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. 2900-0095'' 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) 461-0966 or e-mail 
[email protected]. Please refer to ``OMB Control No. 2900-0095.''

    Title: Pension Claim Questionnaire for Farm Income, VA Form 21-
    OMB Control Number: 2900-0095.
    Type of Review: Extension of a currently approved collection.

[[Page 77958]]

    Abstract: VA Form 21-4165 is used to gather information necessary 
to determine a claimant's countable annual income and available assets 
due to farm operations. Farm income is not necessarily received on a 
weekly or monthly basis, and farm operating expenses must be considered 
in determining a claimant's eligibility to income-based benefits.
    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 4, 2010, at pages 61248-61249.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,038 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 2,075.

    Dated: December 8, 2010.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2010-31274 Filed 12-13-10; 8:45 am]