[Federal Register Volume 77, Number 139 (Thursday, July 19, 2012)]
[Notices]
[Page 42556]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-17505]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW (VA Form 21-0958)]


Proposed Information Collection (Notice of Disagreement) 
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 new 
collection, and allow 60 days for public comment in response to the 
notice. This notice solicits comments for information needed to 
indicate disagreement with a decision issues by a Regional Office.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before September 17, 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-NEW 21-0958'' in any correspondence. During the comment 
period, comments may be viewed online through FDMS.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
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.
    Title: Notice of Disagreement, VA Form 21-0958.
    OMB Control Number: 2900-NEW.
    Type of Review: New data collection.
    Abstract: Veterans complete VA Form 21-0958 to indicate 
disagreement with a decision issued by Regional Office. This is the 
first step in the appeal process. The respondent may or may not 
continue with an appeal to the Board of Veterans Appeals (BVA). If the 
Veteran opts to continue to BVA for an appeal, this form will be 
included in the claim folder as evidence.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 65,000 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 130,000.

    Dated: July 13, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-17505 Filed 7-18-12; 8:45 am]
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