94-7460. Information Collection Under OMB Review: Application for Service- Disabled Insurance, VA Form 29-4364 and VA Form 29-4364-1

[Federal Register Volume 59, Number 61 (Wednesday, March 30, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-7460]


[[Page Unknown]]

[Federal Register: March 30, 1994]


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DEPARTMENT OF VETERANS AFFAIRS
 

Information Collection Under OMB Review: Application for Service-
Disabled Insurance, VA Form 29-4364 and VA Form 29-4364-1

agency: Department of Veterans Affairs.

action: Notice.

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    The Department of Veterans Affairs has submitted to OMB the 
following proposal for the collection of information under the 
provisions of the Paperwork Reduction Act (44 U.S.C. chapter 35). This 
document lists the following information: (1) The title of the 
information collection, and the Department form number(s), if 
applicable; (2) a description of the need and its use; (3) who will be 
required or asked to respond; (4) an estimate of the total annual 
reporting hours, and recordkeeping burden, if applicable; (5) the 
estimated average burden hours per respondent; (6) the frequency of 
response; and (7) an estimated number of respondents.

addresses: Copies of the proposed information collection and supporting 
documents may be obtained from Janet G. Byers, Veterans Benefits 
Administration (20A5), Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420 [phone].
    Comments and questions about the items on the list should be 
directed to VA's OMB Desk Officer, Joseph Lackey, NEOB, room 3002, 
Washington, DC 20503, [phone]. Do not send requests for benefits 
to this address.

dates: Comments on the information collection should be directed to the 
OMB Desk Officer on or before April 29, 1994.

    Dated: March 22, 1994.

    By direction of the Secretary.
B. Michael Berger,
Director, Records Management Service.

Revision

    1. Application for Service-Disabled Insurance, VA Form 29-4364 and 
VA Form 29-4364-1.
    2. The forms are used by veterans to apply for Service-Disabled 
Veterans Insurance, to designate a beneficiary and to select an 
optional settlement.
    3. Individuals or households.
    4. 2,833 hours.
    5. 40 minutes.
    6. On occasion.
    7. 4,250 respondents.

[FR Doc. 94-7460 Filed 3-29-94; 8:45 am]
BILLING CODE 8320-01-M