[Federal Register Volume 80, Number 27 (Tuesday, February 10, 2015)]
[Notices]
[Page 7530]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-02677]


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

DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0826]


Proposed Information Collection (Intent To File a Claim for 
Compensation and/or Pension, or Survivors Pension and/or DIC) Activity: 
Comment Request

AGENCY: Veterans Benefits Administration, Department of Veterans 
Affairs.

ACTION: Notice.

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

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 revision of 
a currently approved collection, and allow 60 days for public comment 
in response to the notice. VA Form 21-0966 will be used by claimants 
and/or their authorized representatives to indicate an intent to file a 
claim for compensation and/or pension, or survivors pension and/or DIC, 
to establish an effective date for an award granted in association with 
a complete claim filed within 1 year of such form.

DATES: Written comments and recommendations on the proposed collection 
of information should be received on or before April 13, 2015.

ADDRESSES: Submit written comments on the collection of information 
through Federal Docket Management System (FDMS) at www.Regulations.gov 
or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), 
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 
20420 or email to [email protected]. Please refer to ``OMB Control 
No. 2900-0826'' in any correspondence. During the comment period, 
comments may be viewed online through the FDMS.

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. 3501-21), 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: Intent to File a Claim for Compensation and/or Pension, or 
Survivors Pension and/or DIC (VA Form 21-0966).
    OMB Control Number: 2900-0826.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-0966 will be used by claimants and/or their 
authorized representatives to indicate intent to file a claim for 
compensation and/or disability benefits to establish an effective date 
for an award granted in association with a complete claim filed within 
1 year of such form. VA will use this form to identify claimants in its 
internal business operational systems to record the date of receipt of 
this document for the purposes of establishing a date of claim for a 
complete claim that is filed within 1 year. VA also uses the 
information to furnish the claimant with the appropriate VA form or 
application for VA benefits.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 181,140.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 724,561.


    Dated: February 5, 2015.

    By direction of the Secretary.
Crystal Rennie,
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-02677 Filed 2-9-15; 8:45 am]
BILLING CODE 8320-01-P