Veterans Benefits Administration, Department of Veterans Affairs.
The Veterans Benefits Administration (VBA), Department of Veterans Affairs (VA), is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of a currently approved collection for which approval has expired and allow 60 days for public comment in response to the notice. This notice solicits comments on the information needed to determine a claimant's eligibility for automobile allowance and adaptive equipment.
Written comments and recommendations on the proposed collection of information should be received on or before August 8, 2005.
Submit written comments on the collection of information to Nancy J. Kessinger, Veterans Benefits Administration (20M35), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420 or e-mail: firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0067” in any correspondence.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 273-7079 or FAX (202) 275-5947.End Further Info End Preamble Start Supplemental Information
Under the PRA of 1995 (Public Law 104-13; 44 U.S.C. 3501—3521), Federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. This request for comment is being made pursuant to Section 3506(c)(2)(A) of the PRA.
With respect to the following collection of information, VBA invites comments on: (1) Whether the proposed collection of information is necessary for the proper performance of VBA's functions, including whether the information will have practical utility; (2) the accuracy of VBA's estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or the use of other forms of information technology.
Title: Application for Automobile or other Conveyance and Adaptive Equipment (under 38 U.S.C. 3901-3904), VA Form 21-4502.
OMB Control Number: 2900-0067.
Type of Review: Extension of a currently approved collection.
Abstract: Veterans and servicepersons complete VA Form 21-4502 to apply for automobile or other conveyance allowance, and reimbursement for the cost and installation of adaptive equipment. The claimants must possess one of the following disabilities that resulted from injury or a disease that was incurred or aggravated during active military service: (1) Loss or permanent loss of use of one or both feet, or hands; (2) permanent impairment of vision in both eyes with a central visual acuity of 20/200 or less in the better eye with corrective glasses, or central visual acuity of more than 20/200 if there is a field defect in which the peripheral field had contracted to such an extent that the widest diameter of visual field has an angular distance no greater than 20 degrees in the better eye. VA uses the information to determine the claimant's eligibility for such benefits.
Affected Public: Individuals and households.
Estimated Annual Burden: 388.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents: 1,552.Start Signature
Dated: May 26, 2005.
By direction of the Secretary.
Director, Records Management Service.
[FR Doc. E5-2904 Filed 6-6-05; 8:45 am]
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