[Federal Register Volume 86, Number 93 (Monday, May 17, 2021)]
[Notices]
[Page 26781]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-10315]


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DEPARTMENT OF VETERANS AFFAIRS

[OMB Control No. 2900-0114]


Agency Information Collection Activity Under OMB Review: 
Statement of Marital Relationship

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. 2900-0114.''

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. 2900-0114'' in any correspondence.

SUPPLEMENTARY INFORMATION: 
    Authority: 38 U.S.C. 101(3), 38 U.S.C. 101(31), and 38 U.S.C. 
103(c).
    Title: Statement of Marital Relationship (VA Form 21-4170).
    OMB Control Number: 2900-0114.
    Type of Review: Reinstatement of a previously approved collection.
    Abstract: VA Form 21-4170 is used to gather information that is 
necessary to determine whether a valid common law marriage was 
established. The form is used by persons claiming to be common law 
widows/widowers of deceased veterans and by veterans and their claimed 
common law spouses. Benefits cannot be authorized unless a valid 
marriage is established.
    This is a reinstatement only with no changes. The respondent burden 
has decreased due to the estimated number of receivables averaged over 
the past year.
    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 46 on March 11, 2021, page 13968.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 919.
    Estimated Average Burden per Respondent: 25 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 2,205.

    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. 2021-10315 Filed 5-14-21; 8:45 am]
BILLING CODE 8320-01-P