This PDF is the current document as it appeared on Public Inspection on 05/04/2015 at 08:45 am.
The Office of Management, 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 Office of Management, 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 June 4, 2015.
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 firstname.lastname@example.org. Please refer to “OMB Control No. 2900-0165” in any correspondence. During the comment period, comments may be viewed online through the FDMS.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 email@example.com. Please refer to “OMB Control No. 2900-0165” in any correspondence.End Further Info End Preamble Start Supplemental Information
Title: Financial Status Report.
OMB Control Number: 2900-0165.
Type of Review: Revision of a currently approved collection.
Abstract: Claimants complete VA Form 5655 to report their financial status. VA uses the data collected to determine the claimant's eligibility for a waiver of collection, setup a payment plan or for the acceptance of a compromise offer on their VA benefit debt.
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 at 80 FR 7529 on February 10, 2015.
Affected Public: Individuals and Households.
Estimated Annual Burden: 95,570 hours.
Estimated Average Burden per Respondent: 1 hour.
Frequency of Response: Annually.
Estimated Number of Respondents: 95,570.Start Signature
By direction of the Secretary.
VA Clearance Officer, Department of Veterans Affairs.
[FR Doc. 2015-10461 Filed 5-4-15; 8:45 am]
BILLING CODE 8320-01-P