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 October 27, 2005.Start Further Info
FOR FURTHER INFORMATION OR A COPY OF THE SUBMISSION CONTACT:
Denise McLamb, Records Management Service (005E3), Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 565-8374, FAX (202) 565-6950 or e-mail: email@example.com. Please refer to “OMB Control No. 2900-2900-New (Philippine Claims Only).”
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-New (Philippine Claims Only)” in any correspondence.
Title: Supplemental Income Questionnaire (For Philippine Claims Only), VA Form 21-0784.
OMB Control Number: 2900-New (Philippine Claims Only).
Type of Review: New collection.
Abstract: Philippine claimants residing in the Philippine complete VA Form 21-0784 to report their countable family income and net worth. VA uses the information to determine the claimant's entitlement to pension benefits.
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 July 11, 2005 at page 39865.
Affected Public: Individuals or households.
Estimated Annual Burden: 30 hours.
Estimated Average Burden Per Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 120.Start Signature
Dated: September 14, 2005.
By direction of the Secretary.
Program Analyst, Records Management Service.
[FR Doc. E5-5199 Filed 9-26-05; 8:45 am]
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