[Federal Register Volume 60, Number 169 (Thursday, August 31, 1995)]
[Notices]
[Pages 45521-45522]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-21595]
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DEPARTMENT OF VETERANS AFFAIRS
Information Collections Under OMB Review
AGENCY: Veterans Benefits Administration, Department of Veterans
Affairs.
ACTION: Notice.
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SUMMARY: The Veterans Benefits Administration (VBA), Department of
Veterans Affairs, has submitted to the Office of Management and Budget
(OMB) the following proposals for the collection of information under
the provisions of the Paperwork Reduction Act (44 U.S.C. Chapter 35).
OMB Number: 2900-0065
Title and Form Number: Request for Employment Information in Connection
with Claim for Disability Benefits, VA Form 21-4192.
Type of Information Collection: Extension of a currently approved
collection.
Needs and Uses: The form is used to gather the necessary information
about employment of the veteran-applicant to determine the extent of
disability affecting employment.
Affected Public: Business or other for-profit.
Estimated Annual Burden: 15,000 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 60,000 respondents.
OMB Number: 2900-0075
Title and Form Number: Statement in Support of Claim, VA Form 21-4138.
Type of Information Collection: Extension of a currently approved
collection.
Needs and Uses: The form is used by the claimant to provide self-
certified statements in support of various types of claims processed by
VBA.
Affected Public: Individuals or households.
Estimated Annual Burden: 188,000 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 752,000 respondents.
OMB Number: 2900-0076
Title and Form Number: Request to Creditor Regarding Applicant's
Indebtedness, VA Form Letter 26-250.
Type of Information Collection: Extension of a currently approved
collection.
Needs and Uses: The form is completed by creditors of veteran-
applicants who are applying for a home loan. The information is used to
determine the applicant's credit worthiness.
[[Page 45522]]
Affected Public: Business or other for-profit--Individuals or
households.
Estimated Annual Burden: 10,833 hours.
Estimated Average Burden Per Respondent: 10 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 65,000 respondents.
OMB Number: 2900-0089
Title and Form Number: Statement of Dependency of Parent(s), VA Form
21-509.
Type of Information Collection: Extension of a currently approved
collection.
Needs and Uses: The form is used to gather income and dependency
information from applicants who are seeking payment of benefits as or
for a dependent parent. The information is used to determine dependency
of the parent.
Affected Public: Individuals or households.
Estimated Annual Burden: 20,000 hours.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 40,000 respondents.
OMB Number: 2900-0095
Title and Form Number: Pension Claim Questionnaire for Farm Income, VA
Form 21-4165.
Type of Information Collection: Extension of a currently approved
collection.
Needs and Uses: The form is used to develop the necessary income and
asset information peculiar to farm operations. The information is used
to determine whether the claimant is eligible for VA benefits and, if
eligibility exists, it is used to determine the proper rate of
benefits.
Affected Public: Farms--Individuals or households.
Estimated Annual Burden: 12,500 hours.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 25,000 respondents.
ADDRESSES: Copies of these submissions may be obtained from Trish
Fineran, Veterans Benefits Administration (20M30), Department of
Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202)
273-6886.
Comments and recommendations concerning the submissions should be
directed 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. Do not send requests for benefits
to this address.
DATES: Comments on the information collections should be directed to
the OMB Desk Officer on or before October 2, 1995.
FOR FURTHER INFORMATION CONTACT: Ron Taylor, VA Clearance Officer
(045A4), (202) 565-4412.
Dated: August 24, 1995.
By direction of the Secretary.
Donald L. Neilson,
Director, Information Management Service.
[FR Doc. 95-21595 Filed 8-30-95; 8:45 am]
BILLING CODE 8320-01-M
