[Federal Register Volume 82, Number 242 (Tuesday, December 19, 2017)]
[Notices]
[Pages 60277-60278]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-27266]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0668]


Agency Information Collection Activity Under OMB Review: 
Supplemental Income Questionnaire (For Philippine Claims Only)

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, 
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 and it 
includes the actual data collection instrument.

DATES: Comments must be submitted on or before January 18, 2018.

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-
0668'' in any correspondence.

FOR FURTHER INFORMATION CONTACT: Cynthia Harvey-Pryor, Office of 
Quality, Privacy and Risk, Department of Veterans Affairs, 811 Vermont 
Avenue, Floor 5, Area 368, Washington, DC 20420, (202) 461-5870 or 
email [email protected]. Please refer to ``OMB Control No. 
2900-0668'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 38 U.S.C. 1521, 1541, 1542.
    Title: Supplemental Income Questionnaire (For Philippine Claims 
Only) (VA Form 21P-0784).
    OMB Control Number: 2900-0668.
    Type of Review: Reinstatement without change of a previously 
approved collection.
    Abstract: Eligibility to benefits may be established based on 
service in the Philippine Scouts, Commonwealth Army of the Philippines, 
or recognized guerrilla organizations (38 U.S.C. 107). Title 38 U.S.C. 
1521, 1541, and 1542 provide for payment of Pension to eligible 
veterans, surviving spouses, and

[[Page 60278]]

surviving children. A claimant's eligibility for pension is determined, 
in part, by countable family income and net worth. Income information 
is requested by this form under the authority of 38 U.S.C. 1506.
    VBA uses VA Form 21P-0784 to gather income information that is 
necessary to determine eligibility for Pension benefits. Entitlement to 
pension cannot be determined without complete information about a 
claimant's family income and net worth. Claimants residing in the 
Philippines have different types of income than claimants residing in 
the United States, and this form better captures those types of income 
than other VA Pension forms.
    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 82 FR 47080 on October 10, 2017.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 30 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: Once.
    Estimated Number of Respondents: 120.

    By direction of the Secretary.
Cynthia Harvey-Pryor,
Department Clearance Officer, Office of Quality, Privacy and Risk, 
Department of Veterans Affairs.
[FR Doc. 2017-27266 Filed 12-18-17; 8:45 am]
 BILLING CODE 8320-01-P