01-19294. Agency Information Collection Activities Under OMB Review

AGENCY:

Veterans Benefits Administration, Department of Veterans Affairs

ACTION:

Notice.

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 September 4, 2001.

FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT:

Denise McLamb, Information Management Service (045A4), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, [phone] or FAX [phone] or e-mail [e-mail]. Please refer to “OMB Control No. 2900-0065.”

SUPPLEMENTARY INFORMATION:

Title: Request for Employment Information in Connection With Claim for Disability Benefits, VA Form 21-4192.

OMB Control Number: 2900-0065.

Type of Review: Extension of a currently approved collection.

Abstract: VA Form 21-4192 is used to request employment information of a claimant applying for disability benefits. The information is necessary to determine the date of termination of the claimant's employment.

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 April 24, 2001 at page 20720.

Estimated Annual Burden: 15,000 hours.

Estimated Average Burden Per Respondent: 15 minutes.

Frequency of Response: On occasion.

Estimated Number of Respondents: 60,000.

Send comments and recommendations concerning any aspect of the information collection to VA's Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503 [phone]. Please refer to “OMB Control No. 2900-0065” in any correspondence.

Dated: July 12, 2001.

By direction of the Secretary.

Donald L. Neilson,

Director, Information Management Service.