This PDF is the current document as it appeared on Public Inspection on 01/02/2014 at 08:45 am.
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 revision of a currently approved collection, and allow 60 days for public comment in response to this notice. This notice solicits comments on the information needed to determine the validity of a common law marriage.
Written comments and recommendations on the proposed collection of information should be received on or before March 4, 2014.
Submit written comments on the collection of information through Federal Docket Management System (FDMS) at www.Regulations.gov or to Nancy J. Kessinger, Veterans Benefits Administration (20M33), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420 or email to email@example.com. Please refer to “OMB Control No. 2900-0114” in any correspondence. During the comment period, comments may be viewed online through FDMS.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Nancy J. Kessinger at (202) 632-8924 or FAX (202) 632-8925.End Further Info End Preamble Start Supplemental Information
Under the PRA of 1995 (Pub. L. 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: Statement of Marital Relationship, VA Form 21-4170.
OMB Control Number: 2900-0114.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 21-4170 is completed by individuals claiming to be common law widows/widowers of deceased Veterans and by Veterans and their claimed common law spouses to establish marital status. VA uses the information collected to determine whether a common law marriage was valid under the law of the place where the parties resided at the time of the marriage or under the law of the place where the parties resided when the right to benefits accrued.
Affected Public: Individuals or households.
Estimated Annual Burden: 2,708 hours.
Estimated Average Burden per Respondent: 25 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 6,500.Start Signature
Dated: December 30, 2013.
By direction of the Secretary.
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2013-31452 Filed 1-2-14; 8:45 am]
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