This PDF is the current document as it appeared on Public Inspection on 08/07/2017 at 08:45 am.
Veterans Benefits Administration, Department of Veterans Affairs.
In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Benefits Administration, 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 and it includes the actual data collection instrument.
Comments must be submitted on or before September 7, 2017.
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. 2900-0720” in any correspondence.Start Further Info
FOR FURTHER INFORMATION CONTACT:
Cynthia Harvey-Pryor, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-5870 or email email@example.com. Please refer to “OMB Control No. 2900-0720” in any correspondence.End Further Info End Preamble Start Supplemental Information
Title: Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet (VA Form 21-0773).
OMB Control Number: 2900-0720.
Type of Review: Extension of a currently approved collection.
Abstract: VA Form 21-0773 is a checklist for Veterans Service Representatives to verify they have given information, applications, and/or referral service to our Operation Enduring Freedom or Operation Iraqi Freedom service members who have at least six months remaining on active Start Printed Page 37168duty and who may have suffered a serious injury or illness. This form is always maintained in the veteran's claims folder.
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 82 FR 79 on April 26, 2017, pages 19312 and 19313.
Affected Public: Individuals or Households.
Estimated Annual Burden: 7,000.
Estimated Average Burden Per Respondent: 30 minutes.
Frequency of Response: One time.
Estimated Number of Respondents: 14,000.Start Signature
By direction of the Secretary.
Department Clearance Officer, Office of Quality and Compliance, Department of Veterans Affairs.
[FR Doc. 2017-16679 Filed 8-7-17; 8:45 am]
BILLING CODE 8320-01-P