Veterans Benefits Administration, Department of Veterans Affairs.
In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-21), 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 and includes the actual data collection instrument.
Comments must be submitted on or before December 13, 2004.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., or e-mail email@example.com. Please refer to “OMB Control No. 2900-0089.” Send comments and recommendations concerning any aspect of the information collection to VA's OMB Desk Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC 20503, (202) 395-7316. Please refer to “OMB Control No. 2900-0089” in any correspondence.End Further Info End Preamble Start Supplemental Information
Title: Statement of Dependency of Parent(s), VA Form 21-509.
OMB Control Number: 2900-0089.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 21-509 is used to gather income and dependency information from claimants who are seeking payment of benefits as or for a dependent parent. The form is completed by veterans seeking to establish his/her parent(s) as dependents as well as by a surviving parent seeking death compensation.
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 June 15, 2004 at page 33467.
Affected Public: Individuals or households.
Estimated Annual Burden: 4,000 hours.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents: 8,000.Start Signature
Dated: October 26, 2004.
By direction of the Secretary.
Director, Records Management Service.
[FR Doc. 04-25146 Filed 11-10-04; 8:45 am]
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