[Federal Register Volume 64, Number 81 (Wednesday, April 28, 1999)]
[Notices]
[Pages 22900-22901]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-10598]
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DEPARTMENT OF VETERANS AFFAIRS
[OMB Control No. 2900-0324]
Agency Information Collection Activities Under OMB Review
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
(44 U.S.C., 3501 et seq.), this notice announces that the Veterans
Benefits Administration (VBA), Department of Veterans Affairs, has
submitted 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; it includes the actual data collection
instrument.
DATES: Comments must be submitted on or before May 28, 1999.
FOR FURTHER INFORMATION CONTACT: Ron Taylor, Information Management
Service (045A4), Department of Veterans Affairs, 810 Vermont Avenue,
NW, Washington, DC 20420, (202) 273-8015 or FAX (202) 273-5981. Please
refer to ``OMB Control No. 2900-0324.''
SUPPLEMENTARY INFORMATION:
Title: Supplemental Physical Examination Report.
Form Numbers:
a. Supplemental Physical Examination Report (Gall Bladder or
Gastrointestinal), VA Form 29-8137.
b. Supplemental Physical Examination Report (Neurological--
Psychological), VA Form 29-8142.
c. Supplemental Physical Examination Report, VA Form 29-8146.
d. Supplemental Physical Examination Report (Three Day Urinalyses
Series), VA Form 29-8148.
e. Supplemental Physical Examination Report (Tumor or Cyst), VA
Form 29-8152.
f. Supplemental Physical Examination Report (Arthritis or
Rheumatism), VA Form 29-8155.
g. Attending Physician's Statement, VA Form 29-8158.
h. Supplemental Physical Examination Report (Diabetes--Physicians
Report), VA Form 29-8160.
OMB Control Number: 2900-0324.
Type of Review: Reinstatement, without change, of a previously
approved collection for which approval has expired.
Abstract: The forms are used by VBA to obtain complete information
as to the physical and/or mental condition of a veteran who has
submitted an application for Government Life Insurance or reinstatement
of eligibility. The information is used to process the insured's
request.
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 on December 23, 1998 at pages 71189-71190.
[[Page 22901]]
Affected Public: Individuals or households.
Estimated Annual Burden: 1,080 hours.
Estimated Average Burden Per Respondent: 45 minutes.
Frequency of Response: Generally one time.
Estimated Number of Respondents: 1,440.
Send comments and recommendations concerning any aspect of the
information collection to VA's OMB Desk Officer, Allison Eydt, OMB
Human Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503 (202) 395-4650. Please refer to ``OMB
Control No. 2900-0324'' in any correspondence.
Dated: April 9, 1999.
By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 99-10598 Filed 4-27-99; 8:45 am]
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