[Federal Register Volume 86, Number 89 (Tuesday, May 11, 2021)]
[Notices]
[Page 25938]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-09918]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0075]


Agency Information Collection Activity Under OMB Review: 
Statement in Support of Claim

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: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function. Refer to 
``OMB Control No. 2900-0075.

FOR FURTHER INFORMATION CONTACT: Maribel Aponte, Office of Enterprise 
and Integration, Data Governance Analytics (008), 1717 H Street NW, 
Washington, DC 20006, (202) 266-4688 or email [email protected]. 
Please refer to ``OMB Control No. 2900-0075'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 38 U.S.C. 501.
    Title: Statement in Support of Claim (VA Form 21-4138).
    OMB Control Number: 2900-0075.
    Type of Review: Reinstatement of a previously approved collection.
    Abstract: VA Form 21-4138 is used to provide self-certified 
statements in support of various types of claims processed by VA. 
Statements submitted by or on behalf of a claimant should contain 
certification by the respondent that the information provided is true 
and correct. This form facilitates claims processing by providing a 
uniform format for the certification statement.
    No substantive changes were added and/or removed from this form. 
This request is only to extend the viability of the form. Due to a 
reduction in respondent totals over the past year, the respondent 
burden has decreased.
    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 86 FR 24 on February 8, 2021, pages 8682 
and 8683.
    Affected Public: Individuals and households.
    Estimated Annual Burden: 121,544 hours.
    Estimated Average Burden per Respondent: 15 minutes.
    Frequency of Response: On occasion.
    Estimated Number of Respondents: 486,174.

    By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data 
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2021-09918 Filed 5-10-21; 8:45 am]
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