[Federal Register Volume 79, Number 172 (Friday, September 5, 2014)]
[Notices]
[Pages 53116-53117]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-21149]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0094]


Agency Information Collection (Supplement to VA Forms 21-526, 21-
534, and 21-535 (for Philippine Claims) (VA Form 21-4169) 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 October 6, 2014.

ADDRESSES: Submit written comments on the collection of information 
through www.Regulations.gov, or to Office of Information and Regulatory 
Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 
17th St. NW., Washington, DC 20503 or sent through electronic mail to 
[email protected]. Please refer to ``OMB Control No. 
2900-0094'' 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. 2900-0094.''

SUPPLEMENTARY INFORMATION: 
    Title: Supplement to VA Forms 21-526, 21-534, and 21-535 (for 
Philippine Claims), VA Form 21-4169.
    OMB Control Number: 2900-0094.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-4169 is used to collect certain applicants' 
service information, place of residence, proof of service, and whether 
the applicant was a member of pro-Japanese, pro-German, or anti-
American Filipino organizations. VA uses the information collected to 
determine the applicant's eligibility for benefits based on 
Commonwealth Army of the Philippines or recognized guerrilla services.
    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 June 12, 2014, at page 33812-33813.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 250 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One-time.
    Estimated Number of Respondents: 1,000.

    Dated: September 2, 2014.


[[Page 53117]]


By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-21149 Filed 9-4-14; 8:45 am]
BILLING CODE 8320-01-P