[Federal Register Volume 80, Number 89 (Friday, May 8, 2015)]
[Notices]
[Pages 26639-26640]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11120]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0004]


Agency Information Collection (Supplement to VA Forms 21P-534, 
534a, & 534EZ) 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 June 8, 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-
0004'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Crystal Rennie, Enterprise Records 
Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue

[[Page 26640]]

NW., Washington, DC 20420, (202) 632-7492 or email 
[email protected]. Please refer to ``OMB Control No. 2900-0004.''

SUPPLEMENTARY INFORMATION:
    Title: Supplement to VA Forms 21P-534, 21P-534a, and 21P-534EZ.
    OMB Control Number: 2900-0004.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21P-534, 534a, and 534EZ is used to gather the 
necessary information to determine the eligibility of surviving spouses 
and children for dependency and indemnity compensation (DIC), death 
pension, accrued benefits, and death compensation. VA Form 21P-534a is 
an abbreviated application for DIC that is used only by surviving 
spouses and children of veterans who died while on active duty service. 
The VA Form 21P-534EZ is used for the Fully Developed Claims (FDC) 
program for pension claims; claimants applying for Parents DIC can use 
this form also.
    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 at 79 FR 57659 on September 25, 2014.
    Affected Public: Individuals or households.
Estimate Information Collection Burden
    a. Number of Respondents: 101,425:
VA Form 21P-534--25,000
VA Form 21P-534a--1,425
VA Form 21P-534EZ--75,000
    b. Frequency of Response: one time.
    c. Annual Burden is 62,856 hours:
VA Form 21P-534--31,250
VA Form 21P-534a--356
VA Form 21P-534EZ--31,250
    d. Estimated completion times based on review by staff personnel:
VA Form 21P-534--75 minutes
VA Form 21P-534a--15 minutes
VA Form 21P-534EZ--25 minutes
    Frequency of Response: One-time.
    Estimated Number of Respondents: 1,000.

    By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-11120 Filed 5-7-15; 8:45 am]
 BILLING CODE 8320-01-P