[Federal Register Volume 77, Number 190 (Monday, October 1, 2012)]
[Notices]
[Page 60027]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-24076]


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DEPARTMENT OF VETERANS AFFAIRS

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


Agency Information Collection (Notice of Disagreement) Activities 
Under OMB Review

AGENCY: Veterans Health 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 Health 
Administration (VHA), 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 and includes the actual data collection instrument.

DATES: Comments must be submitted on or before October 31, 2012.

ADDRESSES: Submit written comments on the collection of information 
through 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-NEW (VA Form 21-0958)'' 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) 632-7479, fax (202) 632-7583 or email 
[email protected]. Please refer to ``OMB Control No. 2900-NEW (VA 
Form 21-0958).''

SUPPLEMENTARY INFORMATION: Title: Notice of Disagreement.
    OMB Control Number: 2900-NEW (VA Form 21-0958).
    Type of Review: New data collection.
    Abstract: Veterans complete VA Form 21-0985 to indicate 
disagreement with a decision issued by Regional Office. This is the 
first step in the appeals process. The respondent may or may not 
continue with an appeal to the Board of Veteran Appeals (BVA) for an 
appeal, this form will be included in the claim folder as evidence. If 
the Veteran opts to continue to BVA for an appeal, this form will be 
included in the claim folder as evidence.
    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 July 19, 2012, at page 42556.
    Affected Public: Individuals or households.
    Estimated Total Annual Burden: 65,000 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 130,000.

    Dated: September 26, 2012.

    By direction of the Secretary.
Denise McLamb,
Program Analyst, Enterprise Records Service.
[FR Doc. 2012-24076 Filed 9-28-12; 8:45 am]
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