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 Start Printed Page 40785collection 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 August 15, 2005.Start Further Info
FOR FURTHER INFORMATION CONTACT:
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: firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0324.”
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. 2900-0324” in any correspondence.End Further Info End Preamble Start Supplemental Information
a. Supplemental Physical Examination Report, VA Form 29-8146.
b. Attending Physician's Statement, VA Form 29-8158.
c. Supplemental Physical Examination Report (Diabetes—Physician's Report), VA Form 29-8160.
OMB Control Number: 2900-0324.
Type of Review: Extension of a currently approved collection.
Abstract: The forms are used to obtain information regarding the physical and/or mental condition of a veteran who has submitted an application for Government Life Insurance or reinstatement of eligibility for such insurance.
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 March 28, 2005 at pages 15689-15690.
Affected Public: Individuals or households.
Estimated Annual Burden: 1,080 hours.
a. VA Form 29-8146—750 hours.
b. VA Form 29-8158—165 hours.
c. VA Form 29-8160—165 hours.
Estimated Average Burden Per Respondent:
a. VA Form 29-8146—45 minutes.
b. VA Form 29-8158—45 minutes.
c. VA Form 29-8160—45 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents: 1,440.
a. VA Form 29-8146—220.
b. VA Form 29-8158—1,000.
c. VA Form 29-8160—220.Start Signature
Dated: July 6, 2005.
By direction of the Secretary.
Program Analyst, Records Management Service.
[FR Doc. E5-3751 Filed 7-13-05; 8:45 am]
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