[Federal Register Volume 77, Number 75 (Wednesday, April 18, 2012)]
[Notices]
[Page 23322]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-9340]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0734]


Proposed Information Collection (Report of General Information) 
Activity: Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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SUMMARY: The Veterans Benefits Administration (VBA), Department of 
Veterans Affairs (VA), is announcing an opportunity for public comment 
on the proposed collection of certain information by the agency. Under 
the Paperwork Reduction Act (PRA) of 1995, Federal agencies are 
required to publish notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
of a currently approved collection, and allow 60 days for public 
comment in response to the notice. This notice solicits comments for 
information needed as evidence to determine a claimant's entitlement to 
benefits.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before June 18, 2012.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to [email protected]. Please refer to ``OMB Control 
No. 2900-0734'' in any correspondence. During the comment period, 
comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 461-9769 
or Fax (202) 275-5947.

SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44 
U.S.C. 3501-3521), Federal agencies must obtain approval from the 
Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. This request for comment is being 
made pursuant to Section 3506(c)(2)(A) of the PRA.
    With respect to the following collection of information, VBA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of VBA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of VBA's estimate of the burden of the proposed collection of 
information; (3) ways to enhance the quality, utility, and clarity of 
the information to be collected; and (4) ways to minimize the burden of 
the collection of information on respondents, including through the use 
of automated collection techniques or the use of other forms of 
information technology.
    Titles:
    a. VA Form 21-0820, Report of General Information.
    b. VA Form 21-0820a, Report of Death of Beneficiary.
    c. VA Form 21-0820b, Report of Nursing Home Information.
    d. VA Form 21-0820c, Report of Defense Finance and Accounting 
Service (DFAS).
    e. VA Form 21-0820d, Report of Lost Check.
    f. VA Form 21-0820e, Report of Incarceration.
    g. VA Form 21-0820f, Month of Death Check.
    OMB Control Number: 2900-0734.
    Type of Review: Extension of a currently approved collection.
    Abstract: The forms will be used by VA personnel to document verbal 
information obtained telephonically from claimants or their 
beneficiary. The data collected will be used as part of the evidence 
needed to determine the claimant's or beneficiary's eligibility for 
benefits.
    Affected Public: Federal Government.
    Estimated Annual Burden:
    a. VA Form 21-0820, Report of General Information--19,667.
    b. VA Form 21-0820a, Report of Death of Beneficiary--6,667.
    c. VA Form 21-0820b, Report of Nursing Home Information--2,500.
    d. VA Form 21-0820c, Report of Defense Finance and Accounting 
Service (DFAS)--2,500.
    e. VA Form 21-0820d, Report of Lost Check--2,500.
    f. VA Form 21-0820e, Report of Incarceration--833.
    g. VA Form 21-0820f, Month of Death Check--833.
    Estimated Average Burden per Respondent: 5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents:
    a. VA Form 21-0820, Report of General Information--2,360,000.
    b. VA Form 21-0820a, Report of Death of Beneficiary--80,000.
    c. VA Form 21-0820b, Report of Nursing Home Information--30,000.
    d. VA Form 21-0820c, Report of Defense Finance and Accounting 
Service (DFAS)--30,000.
    e. VA Form 21-0820d, Report of Lost Check--30,000.
    f. VA Form 21-0820e, Report of Incarceration--10,000.
    g. VA Form 21-0820f, Month of Death Check--10,000.

    Dated: April 13, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-9340 Filed 4-17-12; 8:45 am]
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