This PDF is the current document as it appeared on Public Inspection on 09/02/2014 at 08:45 am.
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, will submit 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 3, 2014.
Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW., Washington, DC 20503 or sent through electronic mail to email@example.com. Please refer to “OMB Control No. 2900-0405” in any correspondence.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0405.”End Further Info End Preamble Start Supplemental Information
Title: REPS Annual Eligibility Report, (Under the Provisions of Section 156, Public Law 97-377), VA Form 21-8941.
OMB Control Number: 2900-0405.
Type of Review: Revision of a currently approved collection.
Abstract: VA Form 21-8941 is completed annually by claimants who have earned income that is at or near the limit of earned income. The Restored Entitlement Program for Survivors (REPS) program pays benefits to certain surviving spouses and children of Veterans who died in service prior to August 13, 1981 or who died as a result of a service-connected disability incurred or aggravated prior to August 13, 1981. VA uses the information collected to determine a claimant's continued entitlement to REPS 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 June 20, 2014, at page 33805.
Affected Public: Individuals or households.
Estimated Annual Burden: 300 hours.
Estimated Average Burden per Respondent: 15 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 1,200.Start Signature
Dated: August 28, 2014.
By direction of the Secretary.
Department Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2014-20923 Filed 9-2-14; 8:45 am]
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