[Federal Register Volume 79, Number 73 (Wednesday, April 16, 2014)]
[Notices]
[Pages 21518-21519]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-08633]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-NEW]


Proposed Information Collection Activity: Proposed Collection 
(Statement in Support of Claim for Disability and Related Compensation 
Benefits Due to Exposure) 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 on the information needed to 
assist claimants in obtaining evidence of

[[Page 21519]]

radiation exposure during active duty military service.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before June 16, 2014.

ADDRESSES: Submit written comments on the collection of information to 
Nancy J. Kessinger, Veterans Benefits Administration (20M35), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email: [email protected]. Please refer to ``OMB Control 
No. 2900-NEW (Statement in Support of Claim for Disability and Related 
Compensation Benefits Due to Exposure) '' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Nancy J. Kessinger at (202) 632-8924 
or FAX (202) 632-8925.

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: Statement in Support of Claim for Disability and Related 
Compensation Benefits Due to Exposure Due to Exposure (VA Form 21-
0964).
    OMB Control Number: 2900-NEW.
    Type of Review: New collection.
    Abstract: VA will use the information collected on VA Form 21-0964 
to gather information related to exposure. The form will be used to 
determine if a Veteran has been exposed for the purposes of benefits.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 10,000 hours.
    Estimated Average Burden per Respondent: 20 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 6,667.

    Dated: April 11, 2014.

    By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-08633 Filed 4-15-14; 8:45 am]
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