30-Day FRN (2900-0075)

58868

Federal Register / Vol. 79, No. 189 / Tuesday, September 30, 2014 / Notices

SUPPLEMENTAL INFORMATION:

Title: Application for Automobile or
other Conveyance and Adaptive
Equipment (under 38 U.S.C. 3901–
3904), VA Form 21–4502.
OMB Control Number: 2900–0067.
Type of Review: Revision of a
currently approved collection.
Abstract: Veterans, servicepersons
and their survivors complete VA Form
21–4502 to apply for automobile or
other conveyance allowance, and
reimbursement for the cost and
installation of adaptive equipment. VA
uses the information to determine the
claimant’s eligibility for such 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
12, 2014, at pages 33805 and 33806.
Affected Public: Individuals or
households.
Estimated Annual Burden: 388.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One–time.
Estimated Number of Respondents:
1,552.
Dated: September 25, 2014.
By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–23259 Filed 9–29–14; 8:45 am]
BILLING CODE 8320–01–P

DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–0075]

Agency Information Collection
(Statement in Support of Claim)
Activity Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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.

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SUMMARY:

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18:09 Sep 29, 2014

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DATES:

Comments must be submitted on
or before October 30, 2014.

DEPARTMENT OF VETERANS
AFFAIRS

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 oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0075’’ in any
correspondence.

[OMB Control No. 2900–0107]

ADDRESSES:

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 crystal.rennie@va.gov.
Please refer to ‘‘OMB Control No. 2900–
0075.’’
SUPPLEMENTARY INFORMATION:

Title: Statement in Support of Claim,
VA Form 21–4138.
OMB Control Number: 2900–0075.
Type of Review: Revision of a
currently approved collection.
Abstract: Statements submitted by or
on behalf of a claimant must contain a
certification by the respondent that the
information provided to VA is true and
correct in support of various types of
benefit claims processed by VA. VA
Form 21–4138 is to used collect the
statement in support of such claims.
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 July
17, 2014, at page 41744.
Affected Public: Individuals or
households.
Estimated Annual Burden: 188,000
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: On occasion.
Estimated Number of Respondents:
752,000.
Dated: September 25, 2014.
By direction of the Secretary:
Crystal Rennie,
Department Clearance Officer, Department of
Veterans Affairs.
[FR Doc. 2014–23260 Filed 9–29–14; 8:45 am]
BILLING CODE 8320–01–P

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Agency Information Collection
(Certificate as to Assets) Activities
Under OMB Review
Veterans Benefits
Administration, Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:

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.
DATES: Comments must be submitted on
or before October 30, 2014.
ADDRESSES: 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 oira_submission@
omb.eop.gov. Please refer to ‘‘OMB
Control No. 2900–0107’’ in any
correspondence.
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 crystal.rennie@va.gov.
Please refer to ‘‘OMB Control No. 2900–
0107.’’
SUPPLEMENTARY INFORMATION:
Title: Certificate as to Assets, VA
Form 21P–4709.
OMB Control Number: 2900–0107.
Type of Review: Revision of a
currently approved collection.
Abstract: Fiduciaries are required to
complete VA Form 21P4709 to report
investment in savings, bonds and other
securities that he or she received on
behalf of beneficiaries who are
incompetent or under legal disability.
Estate analysts employed by VA use the
data collected to verify the fiduciaries
accounting of a beneficiary’s estate.
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
SUMMARY:

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