[Federal Register Volume 76, Number 105 (Wednesday, June 1, 2011)]
[Notices]
[Page 31683]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-13428]



[[Page 31683]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0115]


Agency Information Collection (Supporting Statement Regarding 
Marriage) 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.

DATES: Comments must be submitted on or before July 1, 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. 2900-0115'' 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. 2900-0115.''

SUPPLEMENTARY INFORMATION:
    Title: Supporting Statement Regarding Marriage, VA Form 21-4171.
    OMB Control Number: 2900-0115.
    Type of Review: Extension of a currently approved collection.
    Abstract: The data collected on VA Form 21-4171 is used to 
determine a claimant's eligibility for benefits based on a common law 
marital relationship. Benefits cannot be pay unless the marital 
relationship between the claimant and the veteran is established.
    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 March 18, 2011, at page 15054.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 800 hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 2,400.

    Dated: May 25, 2011.

    By Direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-13428 Filed 5-31-11; 8:45 am]
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