Veterans Benefits Administration, Department of Veterans Affairs.
In compliance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501-3521), 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.
Comments must be submitted on or before July 11, 2005.Start Further Info
FOR FURTHER INFORMATION:
Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8030, FAX (202) 273-5981 or e-mail: email@example.com. Please refer to “OMB Control No. 2900-0094.” 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. 2900-0094” in any correspondence.End Further Info End Preamble Start Supplemental Information
Title: Supplement to VA Forms 21-526, 21-534, and 21-535 (For Philippine Claims), VA Form 21-4169.
OMB Control Number: 2900-0094.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 21-4169 is used to collect certain applicants' service information, place of residence, proof of service, and whether the applicant was a member of pro-Japanese, pro-German, or anti-American Filipino organizations. VA uses the information collected to determine the applicant's eligibility for benefits based on Commonwealth Army or recognized guerrilla services.
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 January 25, 2005, at page 3582.
Affected Public: Individuals or households.
Estimated Annual Burden: 250 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One-time.
Estimated Number of Respondents: 1,000.Start Signature
Dated: May 26, 2005.
By direction of the Secretary.
Director, Records Management Service.
[FR Doc. 05-11478 Filed 6-8-05; 8:45 am]
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