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Agency Information Collection (Survivors' and Dependents' Application for VA Education Benefits) (VA Form 22-5490) Activity Under OMB Review

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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 September 2, 2015.


Submit written comments on the collection of information through, 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 Please refer to “OMB Control No. 2900-0098” in any correspondence.

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Crystal Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 632-7492 or email Please refer to “OMB Control No. 2900-0098.”

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Title: Survivors' and Dependents' Application for VA Education Benefits (VA Form 22-5490).

OMB Control Number: 2900-0098.

Type of Review: Revision of a currently approved collection.

Abstract: VA Form 22-5490 is completed by spouses and children of Veterans or servicemembers to apply for Survivors' and Dependents' Educational Assistance (DEA) and Post-9/11 GI Bill Marine Gunnery Sergeant John David Fry Scholarship (Fry Scholarship) mailed to service-connected disabled veterans who submitted an application for vocational rehabilitation benefits. VA will use data collected to determine the types of rehabilitation program the Veteran will need.

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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 5887 on February 3, 2015.

Affected Public: Individuals.

Estimated Annual Burden: 52,251 hours.

Estimated Average Burden per Respondent: 33,590 (paper copy—45 minutes); 18,661 (electronically—25 minutes).

Frequency of Response: Annually.

Estimated Number of Respondents: 89,574.

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By direction of the Secretary.

Kathleen M. Manwell,

Program Analyst, VA Privacy Service, Office of Privacy and Records Management, Department of Veterans Affairs.

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[FR Doc. 2015-18932 Filed 7-31-15; 8:45 am]