[Federal Register Volume 79, Number 247 (Wednesday, December 24, 2014)]
[Notices]
[Pages 77599-77600]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-30056]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0101]


Agency Information Collection (Eligibility Verification Reports) 
Activity Under OMB Review

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

-----------------------------------------------------------------------

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.

Dated: Comments must be submitted on or before January 23, 2015.

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-
0101'' in any correspondence. During the comment period, comments may 
be viewed online through the FDMS.

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. 2900-0101'' in 
any correspondence.

SUPPLEMENTARY INFORMATION:
    Titles: Eligibility Verification Reports (EVR).
    a. Eligibility Verification Report Instructions, VA Form 21-0510.
    b. Old Law and Section 306 Eligibility Verification Report 
(Surviving Spouse), VA Form 21-0512S-1.
    c. Old Law and Section 306 Eligibility Verification Report 
(Veteran), VA Form 21-0512V-1.
    d. Old Law and Section 306 Eligibility Verification Report 
(Children Only), VA Form 21-0513-1.
    e. DIC Parent's Eligibility Verification Report, VA Forms 21-0514 
and 21-0514-1.
    f. Improved Pension Eligibility Verification Report (Veteran With 
No Children), VA Forms 21-0516 and 21-0516-1.
    g. Improved Pension Eligibility Verification Report (Veteran With 
Children), VA Forms 21-0517 and 21-0517-1.
    h. Improved Pension Eligibility Verification Report (Surviving 
Spouse With No Children), VA Forms 21-0518 and 21-0518-1.

[[Page 77600]]

    i. Improved Pension Eligibility Verification Report (Child or 
Children), VA Forms 21-0519C and 21-0519C-1.
    j. Improved Pension Eligibility Verification Report (Surviving 
Spouse With Children), VA Forms 21-0519S and 21-0519S-1.
    OMB Control Number: 2900-0101.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA uses EVR forms to verify a claimant's continued 
entitlement to benefits. Claimants who applied for or receives Improved 
Pension or Parents' Dependency and Indemnity Compensation must promptly 
notify VA in writing of any changes in entitlement factors. EVRs are 
required annually by beneficiaries whose social security number (SSN) 
or whose spouse's SSN is not verified, or who has income other than 
Social Security. Recipients of Old Law and Section 306 Pension are no 
longer required to submit annual EVRs unless there is a change in their 
income.
    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 October 2, 2014, at pages 59559-59560.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 113,075 hours. The annual burden for VA 
Forms 21-0512S-1, 21-0512V-1, 21-0513-1, 21-0514, 21-0514-1, 21-0516, 
21-0516-1, 21-0518, 21-0518-1, 21-0519C, and 21-0519C-1 is 98,775 and 
14,300 for VA Forms 21-0517, 21-0517-1, 21-0519S, and 21-0519S-1.
    Estimated Average Burden per Respondent: The estimated burden 
respondent for VA Forms 21-0512S-1, 21-0512V-1, 21-0513-1, 21-0514, 21-
0514-1, 21-0516, 21-0516-1, 21-0518, 21-0518-1, 21-0519C, and 21-0519C-
1 is 30 minutes and 40 minutes for VA Forms 21-0517, 21-0517-1, 21-
0519S, and 21-0519S-1.
    Frequency of Response: Annually.
    Estimated Number of Respondents: 219,000. The number of respondents 
for VA Forms 21-0512S-1, 21-0512V-1, 21-0513-1, 21-0514, 21-0514-1, 21-
0516, 21-0516-1, 21-0518, 21-0518-1, 21-0519C, and 21-0519C-1 is 
197,550 and 21,450 for VA Forms 21-0517, 21-0517-1, 21-0519S, and 21-
0519S-1.

    Dated: December 18, 2014.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-30056 Filed 12-23-14; 8:45 am]
BILLING CODE 8320-01-P