[Federal Register Volume 81, Number 141 (Friday, July 22, 2016)]
[Notices]
[Pages 47856-47857]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-17336]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0095]


Agency Information Collection (Pension Claim Questionnaire for 
Farm Income, VA Form 21P-4165); 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

[[Page 47857]]

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 August 22, 2016.

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-
0095'' in any correspondence.

FOR FURTHER INFORMATION CONTACT:  Cynthia Harvey-Pryor, Enterprise 
Records Service (005R1B), Department of Veterans Affairs, 810 Vermont 
Avenue NW., Washington, DC 20420, (202) 632-7474 or email 
[email protected] . Please refer to ``OMB control No. 2900-
0095.''

SUPPLEMENTARY INFORMATION:
    Title: Pension Claim Questionnaire for Farm Income, VA Form 21P-
4165.
    OMB Control Number: 2900-0095.
    Type of Review: Revision of a currently approved collection.
    Abstract: The Department of Veterans Affairs (VA), through its 
Veterans Benefits Administration (VBA), administers an integrated 
program of benefits and services, established by law, for veterans, 
service personnel and their survivors.
    38 U.S.C. 1521 establishes a pension benefit for Veterans of a 
period of war who are permanently and totally disabled. 38 U.S.C. 1541 
and 38 U.S.C. 1542 establish a survivor's pension benefit for the 
surviving dependents of Veterans of a period of war. Entitlement to 
pension benefits for Veterans and their surviving dependents is based 
on the family's countable annual income as required by 38 U.S.C. 1503 
and net worth as required by 38 U.S.C. 1522.
    The information collected on VA Form 21P-4165 will be used by VA to 
evaluate a claimant's income and net worth related to the operation of 
a farm for the purpose of establishing entitlement to pension benefits 
and to evaluate a beneficiary's ongoing entitlement to pension 
benefits.
    Affected Public: Individuals or households.
    Estimated Annual Burden: 1,038 hours.
    Estimated Average Burden per Respondent: 30 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 2,075.

    By direction of the Secretary:
Cynthia Harvey-Pryor,
Program Specialist, Office of Privacy and Records Management, 
Department of Veterans Affairs.
[FR Doc. 2016-17336 Filed 7-21-16; 8:45 am]
 BILLING CODE 8320-01-P