[Federal Register Volume 77, Number 127 (Monday, July 2, 2012)]
[Notices]
[Pages 39343-39344]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-16104]


-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0002]


Agency Information Collection (Income-Net Worth and Employment 
Statement) Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

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, 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 August 1, 2012.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov or to VA's OMB Desk Officer, OMB Human 
Resources

[[Page 39344]]

and Housing Branch, New Executive Office Building, Room 10235, 
Washington, DC 20503 (202) 395-7316. Please refer to ``OMB Control No. 
2900-0002'' 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 email 
[email protected]. Please refer to ``OMB Control No. 2900-0002.''

SUPPLEMENTARY INFORMATION: Title: Income-Net Worth and Employment 
Statement, VA Form 21-527.
    OMB Control Number: 2900-0002.
    Type of Review: Extension of a currently approved collection.
    Abstract: VA Form 21-527 used to obtain current employment, 
dependency, and family income and net worth information to determine a 
claimant's entitlement to disability pension.
    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 April 6, 2012, at page 20888.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 104,440 hours.
    Estimated Average Burden per Respondent: 60 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 104,440.

    Dated: June 27, 2012.

    By direction of the Secretary.

Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-16104 Filed 6-29-12; 8:45 am]
BILLING CODE 8320-01-P