[Federal Register Volume 89, Number 130 (Monday, July 8, 2024)]
[Notices]
[Pages 56025-56026]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-14840]


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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: Comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
by clicking on the following link www.reginfo.gov/public/do/PRAMain, 
select ``Currently under Review--Open for Public Comments'', then 
search the

[[Page 56026]]

list for the information collection by Title or ``OMB Control No. 2900-
0114.''

FOR FURTHER INFORMATION CONTACT: 
    VA PRA information: Maribel Aponte, 202-461-8900, 
[email protected].

SUPPLEMENTARY INFORMATION: 
    Title: Statement of Marital Relationship (VA Form 21-4170).
    OMB Control Number: 2900-0114 https://www.reginfo.gov/public/do/PRASearch.
    Type of Review: Revision of a currently approved collection.
    Abstract: VA Form 21-4170 is primarily 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. No changes have been made to this form. 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 89 FR 35305, May 1, 2024.
    Affected Public: Individuals or Households.
    Estimated Annual Burden: 827 hours.
    Estimated Average Burden per Respondent: 25 minutes.
    Frequency of Response: One time.
    Estimated Number of Respondents: 1,984 per year.
    Authority: 44 U.S.C. 3501 et seq.

Maribel Aponte,
VA PRA Clearance Officer, Office of Enterprise and Integration, Data 
Governance Analytics, Department of Veterans Affairs.
[FR Doc. 2024-14840 Filed 7-5-24; 8:45 am]
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