[Federal Register Volume 80, Number 148 (Monday, August 3, 2015)]
[Notices]
[Page 46106]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-18929]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0791]


Agency Information Collection (Notice of Disagreement) 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. 3501-21), this notice announces that the Veterans Benefits 
Administration, 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 and it includes the actual data collection instrument.

DATES: Comments must be submitted on or before September 2, 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-
0791'' 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. 2900-0791'' in 
any correspondence.

SUPPLEMENTARY INFORMATION:
    Title: Notice of Disagreement (VA Form 21-0958).
    OMB Control Number: 2900-0791.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-0958, will be used by the Veteran to initiate 
an appeal by indicating disagreement with a decision issued by a 
Regional Office (RO). VA Form 21-0958, is the first step in the appeal 
process. The respondent may or may not continue with an appeal to the 
Board of Veterans Appeals (BVA). If the Veteran opts to continue to BVA 
for an appeal, this form will be included in the claim folder as 
evidence. VA will provide VA Form 21-0958 to claimants with the 
notification letter of the decision in paper form, via hyperlink to 
VA's Web site, or through its electronic claims processing system. The 
use of VA Form 21-0958 is mandatory when claimants want to initiate an 
appeal from a decision on disability compensation claims dated on or 
after March 24, 2015.
    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 80 FR 83 on April 30, 2015.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 72,000.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 144,000.

    By direction of the Secretary.
Kathleen M. Manwell,
Program Analyst, VA Privacy Service, Office of Privacy and Records 
Management, Department of Veterans Affairs.
[FR Doc. 2015-18929 Filed 7-31-15; 8:45 am]
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