[Federal Register Volume 79, Number 54 (Thursday, March 20, 2014)]
[Notices]
[Page 15621]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-06108]



[[Page 15621]]

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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0001]


Agency Information Collection (Veteran's Application for 
Compensation and/or Pension): 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 April 21, 2014.

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. 2900-0001'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue 
NW., Washington, DC 20420, (202) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0001.''

SUPPLEMENTARY INFORMATION:
    Titles:
    a. Veteran's Application for Compensation and/or Pension, VA Form 
21-526.
    b. Veteran's Supplemental Claim Application, VA Form 21-526b.
    c. Authorization and Consent Release Information to the Department 
of Veterans Affairs (VA), VA Form 21-4142.
    d. General Release for Medical Provider Information to the 
Department of Veterans Affairs (VA), VA Form 21-4142a.
    OMB Control Number: 2900-0001.
    Type of Review: Revision of a currently approved collection.
    Abstracts:
    a. Veterans complete VA Form 21-526 to initially apply for 
compensation and/or pension benefits.
    b. Veterans who previously filed a claim using VA Form 21-526, and 
who wish to request an increase in a service connected condition, 
reopen their claim for a previously denied claim, and/or file a claim 
for a new service-connected condition must complete VA Form 21-526b. VA 
Form 21-526b will be used for supplemental disability or ancillary 
benefit claims.
    c. Veterans who need VA's assistance in obtaining non-VA medical 
records must complete VA Form 21-4142.
    d. VA Form 21-4142a is used to gather private provider information 
of the Veteran to VA.
    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 January 3, 2014 at pages 424 and 425.
    Affected Public: Individuals or households.
    Estimated Annual Burden:
    a. VA Form 21-526--391,708.
    b. VA Form 21-526b--50,000.
    c. VA Form 21-4142--5,516.
    d. VA Form 21-4142a--5,516.
    Estimated Average Burden per Respondent:
    a. VA Form 21-526--1 hour.
    b. VA Form 21-526b--15 minutes.
    c. VA Form 21-4142--5 minutes.
    d. VA Form 21-4142a--5 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents:
    a. VA Form 21-526--391,708.
    b. VA Form 21-526b--200,000.
    c. VA Form 21-4142--66,200.
    d. VA Form 21-4142a--66,200.

    Dated: March 14, 2014.

    By direction of the Secretary.
Crystal Rennie,
 Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-06108 Filed 3-19-14; 8:45 am]
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