[Federal Register Volume 76, Number 168 (Tuesday, August 30, 2011)]
[Notices]
[Page 54004]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-22016]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0545]


Agency Information Collection (Report of Medical, Legal, and 
Other Expenses Incident to Recovery for Injury or Death) 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 September 29, 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. 2900-0545'' 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. 2900-0545.''

SUPPLEMENTARY INFORMATION: 
    Title: Report of Medical, Legal, and Other Expenses Incident to 
Recovery for Injury or Death, VA Form 21-8416b.
    OMB Control Number: 2900-0545.
    Type of Review: Extension of a currently approved collection.
    Abstract: Claimants complete VA Form 21-8416b to report 
compensation awarded by another entity or government agency for 
personal injury or death. Such award is considered as countable income; 
however, medical, legal or other expenses incident to the injury or 
death, or incident to the collection or recovery of the compensation 
may be deducted from the amount awarded or settled. The information 
collected is use to determine the claimant's eligibility for income 
based benefits and the rate payable.
    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 14, 2011, at page 34812.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,125 hours.
    Estimated Average Burden per Respondent: 45 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 1,500.

    Dated: August 24, 2011.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2011-22016 Filed 8-29-11; 8:45 am]
BILLING CODE 8320-01-P